Subtotal palmar fasciectomy with skin Z-plasty results in Dupuytren’s disease
: Minimum one year follow-up

Kadir Uzel; Murat Birinci; Mehmet Akif Cacan; Bilgehan Catal; Alparslan Uzun; Adnan Kara

doi:10.5455/handmicrosurg.168109

2025, Vol: 14, Issue: 2

14 / 2Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles

Required files to be uploaded

Conflict of Interest Disclosure Statement
Copyright Transfer Form
Ethical Approval
Title Page

« Previous Article

Original Article

Hand Microsurg. 2024; 13(1): 21-27

doi: 10.5455/handmicrosurg.168109

Subtotal palmar fasciectomy with skin Z-plasty results in Dupuytren’s disease : Minimum one year follow-up

Kadir Uzel, Murat Birinci, Mehmet Akif Cacan, Bilgehan Catal, Alparslan Uzun, Adnan Kara.

Abstract
Backround
Dupuytren's disease is a condition that leads to progressive contractures in the hand, significantly impacting the quality of life. These rigid deformities impair hand functions and have adverse effects on daily life. Various surgical treatment options are available. In this study, our goal is to report the results of patients for whom we performed subtotal palmar fasciectomy and skin Z-plasty.
Method
A retrospective analysis was conducted on 16 patients who underwent subtotal palmar fasciotomy. The range of motion before and after the operation, along with patient-reported outcome scores using the Quick Disabilities of the Arm, Shoulder, and Hand Questionnaire (QDASH), were compared. Additionally, the time return to work time and any complications were documented.
Results
The mean preoperative MCP joint flexion contracture degree was 42.8 (range: 30-70 degrees), while the postoperative mean was 2 (range: 0-30 degrees). Similarly, the mean preoperative PIP joint flexion contracture degree was 41 (range: 20-90 degrees), and the postoperative mean was 8 (range: 0-30 degrees). The mean preoperative QDASH score decreased from 44 (range: 32.5-50) to 9.6 postoperatively (range: 7.5-12.5). The average return-to-work time was 42 days.
Conclusion
Subtotal palmar fasciotomy stands as a surgical alternative with high patient satisfaction in treating Dupuytren's disease. The application of Z-plasty during closure helps to reduce postoperative wound problems by alleviating tension.

Key words: Hand ; contracture; Dupuytren’s disease ; subtotal palmar fasciectomy ; Z-plasty

	ARTICLE TOOLS
	Abstract
	PDF Fulltext
	How to cite this article
	Citation Tools
	Related Records
	Articles by Kadir Uzel Articles by Murat Birinci Articles by Mehmet Akif Cacan Articles by Bilgehan Catal Articles by Alparslan Uzun Articles by Adnan Kara
	on Google
	on Google Scholar

How to Cite this Article

Pubmed Style

Uzel K, Birinci M, Cacan MA, Catal B, Uzun A, Kara A. Subtotal palmar fasciectomy with skin Z-plasty results in Dupuytren’s disease : Minimum one year follow-up. Hand Microsurg. 2024; 13(1): 21-27. doi:10.5455/handmicrosurg.168109

Web Style

Uzel K, Birinci M, Cacan MA, Catal B, Uzun A, Kara A. Subtotal palmar fasciectomy with skin Z-plasty results in Dupuytren’s disease : Minimum one year follow-up. https://handmicrosurgeryjournal.com/?mno=168109 [Access: September 12, 2024]. doi:10.5455/handmicrosurg.168109

AMA (American Medical Association) Style

Uzel K, Birinci M, Cacan MA, Catal B, Uzun A, Kara A. Subtotal palmar fasciectomy with skin Z-plasty results in Dupuytren’s disease : Minimum one year follow-up. Hand Microsurg. 2024; 13(1): 21-27. doi:10.5455/handmicrosurg.168109

Vancouver/ICMJE Style

Uzel K, Birinci M, Cacan MA, Catal B, Uzun A, Kara A. Subtotal palmar fasciectomy with skin Z-plasty results in Dupuytren’s disease : Minimum one year follow-up. Hand Microsurg. (2024), [cited September 12, 2024]; 13(1): 21-27. doi:10.5455/handmicrosurg.168109

Harvard Style

Uzel, K., Birinci, . M., Cacan, . M. A., Catal, . B., Uzun, . A. & Kara, . A. (2024) Subtotal palmar fasciectomy with skin Z-plasty results in Dupuytren’s disease : Minimum one year follow-up. Hand Microsurg, 13 (1), 21-27. doi:10.5455/handmicrosurg.168109

Turabian Style

Uzel, Kadir, Murat Birinci, Mehmet Akif Cacan, Bilgehan Catal, Alparslan Uzun, and Adnan Kara. 2024. Subtotal palmar fasciectomy with skin Z-plasty results in Dupuytren’s disease : Minimum one year follow-up. Hand and Microsurgery, 13 (1), 21-27. doi:10.5455/handmicrosurg.168109

Chicago Style

Uzel, Kadir, Murat Birinci, Mehmet Akif Cacan, Bilgehan Catal, Alparslan Uzun, and Adnan Kara. "Subtotal palmar fasciectomy with skin Z-plasty results in Dupuytren’s disease : Minimum one year follow-up." Hand and Microsurgery 13 (2024), 21-27. doi:10.5455/handmicrosurg.168109

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Uzel, K., Birinci, . M., Cacan, . M. A., Catal, . B., Uzun, . A. & Kara, . A. (2024) Subtotal palmar fasciectomy with skin Z-plasty results in Dupuytren’s disease : Minimum one year follow-up. Hand and Microsurgery, 13 (1), 21-27. doi:10.5455/handmicrosurg.168109

About Hand and Microsurgery

Contact Information

How to cite this article



About Hand and Microsurgery Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more. For best results, please use Internet Explorer or Google Chrome.	Contact Information