Tropet Y, Deck D, Vichard P
Service de Chirurgie Orthopédique, Traumatologique et Plastique, CHU Hôpital Jean Minjoz, Besançon.
Ann Chir Main Memb Super. 1994;13(2):101-6. doi: 10.1016/s0753-9053(05)80381-3.
One hundred and twenty six patients (148 hands) with Dupuytren's disease of the fifth finger were reviewed with an average follow-up of 5 years. Twenty-nine dermo-fasciectomies were performed on the palmar area of the fifth finger. The improvement in the MP joint was complete in all cases. A classification in to 4 grades according to the degree of pre- and postoperative retraction is proposed. The average improvement at the PIP joint was 50 degrees. 26 recurrences were observed. The recurrence rate was similar with or without a skin graft but the functional result was better with a digital graft, as recurrences were located away from the PIP joint.
对126例（148只手）患有小指掌腱膜挛缩症的患者进行了回顾性研究，平均随访时间为5年。在小指掌侧区域进行了29例真皮-筋膜切除术。所有病例中掌指关节的改善均为完全改善。根据术前和术后回缩程度提出了一种分为4级的分类方法。近端指间关节的平均改善角度为50度。观察到26例复发。无论有无植皮，复发率相似，但采用指部植皮时功能结果更好，因为复发部位远离近端指间关节。
