The open palm technique for Dupuytren's contracture

The results of subtotal palmar fasciectomy employing an open palm technique have been reviewed. Full correction of the metacarpophalangeal flexion deformity was achieved in the majority of 120 hands which were followed up for between one and nine years after operation, but the results from associated digital dissection were less satisfactory. Leaving the transverse distal palmar wound open lessens many of the hazards inherent in a palmar dissection, and the approach is therefore relatively safe for the less experienced surgeon. Efficient supervision of the hand after surgery is of paramount importance and may influence the outcome as significantly as the operation itself.