FIELD: medicine.
SUBSTANCE: "S" incision is performed on palm of hand. A flap is formed with its base 2-3 times exceeding its length. Total aponeuroectomy follows. Bands of palm aponeurosis on fingers are removed from separate additional rabble-like incisions on palmary-collateral surface of fingers. The wound is closed. The skin defect within the wound after the contracture has been removed, is close with "local" tissues. If Dupuytren's contracture of III degree combined with development of secondary changes, the first stage involves application of a distraction apparatus. After the contracture has been removed by graduated distraction in the apparatus by 1 mm a day, the second stage includes aponeuroectomy according to the described technique.
EFFECT: method allows preventing formation of pointed skin flaps prone to necrosis.
4 cl, 1 ex, 3 dwg
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