Schneider L H, Hankin F M, Eisenberg T
J Hand Surg Am. 1986 Jan;11(1):23-7. doi: 10.1016/s0363-5023(86)80094-6.
Experience with 49 cases of Dupuytren's disease treated by the open palm method and followed for an average of 5 years is reported. This method permits excision of the involved fascia while minimizing early postoperative morbidity associated with the surgical management of this condition. There were no cases of wound necrosis, hematoma, or infection with this technique, and all wounds closed spontaneously within 3 to 5 weeks. Long-term follow-up, however, revealed a significant rate of recurrence (32%) and extension (48%), as well as flexion loss at one or more joints in 41% of involved hands. While helpful in the early care of these patients, the open palm method does not modify the long-term results in Dupuytren's disease, which is a pervasive condition without simple surgical solution.
报告了49例采用开放手掌法治疗并平均随访5年的掌腱膜挛缩症病例的经验。该方法允许切除受累筋膜，同时将与这种疾病手术治疗相关的早期术后发病率降至最低。采用该技术没有出现伤口坏死、血肿或感染的病例，所有伤口在3至5周内自行愈合。然而，长期随访显示复发率（32%）和病情进展率（48%）较高，并且在41%受累手部的一个或多个关节出现屈曲功能丧失。虽然开放手掌法对这些患者的早期护理有帮助，但它并不能改变掌腱膜挛缩症的长期治疗结果，这是一种普遍存在的疾病，没有简单的手术解决方案。
