March 1976

In Defense of the Open Wound

Author Affiliations

From the Section of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, Conn.

Arch Surg. 1976;111(3):293-296. doi:10.1001/archsurg.1976.01360210087018

• In a case of bilateral five-finger Dupuytren contracture, one hand was treated by open excision of the contractured fascia and shortened skin with application of skin graft. The opposite hand was treated by the "open-palm" technique for comparison. There was no observable difference in the ranges of motion at the end of the two months following surgery. The open-palm technique continues to be a simple alternative for the advanced cases requiring extensive excision of the palmar fascia leaving wide gaps in the palmar skin.

(Arch Surg 111:293-296, 1976)