Modern surgery, general and operative . e combination of thiosinamin andsalicylate of sodium, has been usedhypodermatically in Dupuytrens con-traction and, it is claimed, with success(Schwalbach). In treating Dupuy-trens contraction subcutaneous multi-ple incisions may be made, the tensefascia and the fasciocutaneous fibersbeing cut. The finger is straightenedand is placed upon a straight splint,^which is worn continuously for a weekor ten days and is worn at night for at least a month. A more satisfactoryoperation is that of Keen. He divides the skin by a V-shaped cut, the baseof the V being
Modern surgery, general and operative . e combination of thiosinamin andsalicylate of sodium, has been usedhypodermatically in Dupuytrens con-traction and, it is claimed, with success(Schwalbach). In treating Dupuy-trens contraction subcutaneous multi-ple incisions may be made, the tensefascia and the fasciocutaneous fibersbeing cut. The finger is straightenedand is placed upon a straight splint,^which is worn continuously for a weekor ten days and is worn at night for at least a month. A more satisfactoryoperation is that of Keen. He divides the skin by a V-shaped cut, the baseof the V being downward, lifts up the flap, and dissects out the contractedtissue. A valuable method is that of McCurdy. He makes a long incisionwhich crosses the contracture obliquely, stretches thoroughly, closes the wound,and keeps up mechanical fixation for a time. A cure is most certain to beobtained by Lexers radical operation. This surgeon excises the entire aponeu-rosis and considerable portions of the palmar skin adherent to the Fig. 469.—Dupuytrens contraction of themiddle finger.
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
