Update on Dupuytren Disease: Pathogenesis, Natural History, Treatment, and Outcomes | Journal CME Article-Video 1

Video Transcription

Video Summary

The video demonstrates a regional fasciectomy technique for treating hand contractures, focusing on effective use of Z-plasties. It highlights the need for careful flap design to prevent necrosis and preserve blood supply, particularly in the first web space. Dissection begins in the distal palm, protecting neurovascular structures. Diseased fascia is removed after neurovascular dissection. Post-surgery, fingers are immobilized in the intrinsic plus position, which aids healing by relaxing flaps. Wound closure should avoid excessive tension. Motion exercises start five days post-op, with co-band wrapping used to minimize edema. Active motion is shown at three weeks post-surgery.

Keywords

fasciectomy

Z-plasties

hand contractures

neurovascular dissection

postoperative care