{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T01:40:52Z","timestamp":1769046052829,"version":"3.49.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>Dupuytren\u2019s pathologic tissue usually involves the palmar skin and rarely infiltrates into the dorsal skin. In this study, we hypothesized that transplantation of a vascularized cutaneous flap harvested from the dorsum of the hand to the palmar skin, under which the pathologic cord existed might be useful for blocking reformation of the pathologic cords and for decreasing the recurrence rate. After removal of the pathologic tissue under the palmar skin, we harvested 2 types of skin islands nourished by the dorsal digital arterial network including the dorsal perforating arteries arising from the palmar digital arteries. The skin islands were transplanted into skin defects in the palm of the fingers and hand that had been created after correction of flexion contracture of the fingers. We performed this surgical maneuver on 24 fingers in 24 patients who exhibited severe flexion contracture because of Dupuytren disease. During the mean 40-month follow-up, only 1 patient experienced metacarpophalangeal joint flexion contracture \u226520 degrees in the operated finger. The recurrence rate was 4.2%, which was almost similar to that for a dermofasciectomy followed by a large full-thickness skin graft.<\/jats:p>","DOI":"10.1097\/bth.0000000000000204","type":"journal-article","created":{"date-parts":[[2018,8,6]],"date-time":"2018-08-06T01:09:47Z","timestamp":1533517787000},"page":"110-115","source":"Crossref","is-referenced-by-count":4,"title":["Use of Dorsal Skin Islands as Firebreak Grafts to the Palm to Reduce the Recurrence Rate of Dupuytren\u2019s Contracture"],"prefix":"10.1097","volume":"22","author":[{"given":"Ryosuke","family":"Kakinoki","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Kindai University Hospital, Osaka-sayama, Osaka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Ohtani","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Kindai University Hospital, Osaka-sayama, Osaka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiko","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Kindai University Hospital, Osaka-sayama, Osaka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Kindai University Hospital, Osaka-sayama, Osaka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Ikeguchi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Souichi","family":"Ohta","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masao","family":"Akagi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Kindai University Hospital, Osaka-sayama, Osaka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230901","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1016\/0266-7681(93)90029-F","article-title":"The presence of myofibroblasts in the dermis of patients with Dupuytren\u2019s contracture. A possible source for recurrence","volume":"18","author":"McCann","year":"1993","journal-title":"J Hand Surg Br"},{"key":"R2-20230901","first-page":"375","article-title":"A mid-term review of the results of dermofasciectomy for Dupuytren\u2019s disease","volume":"11","author":"Searle","year":"1992","journal-title":"Ann Chir Main Memb Super"},{"key":"R3-20230901","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1177\/1753193415601353","article-title":"Skin involvement in Dupuytren\u2019s disease","volume":"41","author":"Wade","year":"2016","journal-title":"J Hand Surg Eur"},{"key":"R4-20230901","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/S0007-1226(69)80057-3","article-title":"The control of recurrent Dupuytren\u2019s contracture by skin replacement","volume":"22","author":"Hueston","year":"1969","journal-title":"Br J Plast Surg"},{"key":"R5-20230901","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/0007-1226(94)90075-2","article-title":"Long term follow-up of dermofasciectomy for Dupuytren\u2019s contracture","volume":"47","author":"Brotherston","year":"1994","journal-title":"Br J Plast Surg"},{"key":"R6-20230901","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/S0266-7681(97)80061-7","article-title":"Skin replacement in Dupuytren\u2019s disease","volume":"22","author":"Hall","year":"1997","journal-title":"J Hand Surg Br"},{"key":"R7-20230901","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1302\/0301-620X.82B1.0820090","article-title":"Dermofasciectomy in the management of Dupuytren\u2019s disease","volume":"82","author":"Armstrong","year":"2000","journal-title":"J Bone Joint Surg Br"},{"key":"R8-20230901","doi-asserted-by":"crossref","first-page":"e235","DOI":"10.1016\/j.jhsa.2016.04.011","article-title":"Dupuytren disease infiltrating a full-thickness skin graft","volume":"41","author":"Wade","year":"2016","journal-title":"J Hand Surg Am"},{"key":"R9-20230901","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1302\/0301-620X.91B3.21054","article-title":"Does a \u201cfirebreak\u201d full-thickness skin graft prevent recurrence after surgery for Dupuytren\u2019s contracture?: a prospective, randomised trial","volume":"91","author":"Ullah","year":"2009","journal-title":"J Bone Joint Surg Br"},{"key":"R10-20230901","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1136\/bmj.2.2270.8","article-title":"Concerning pads upon the finger joints and their clinical relationships","volume":"2","author":"Garrod","year":"1904","journal-title":"BMJ"},{"key":"R11-20230901","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/S0363-5023(82)80149-4","article-title":"Dorsal Dupuytren\u2019s disease","volume":"7","author":"Hueston","year":"1982","journal-title":"J Hand Surg Am"},{"key":"R12-20230901","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1097\/01.bth.0000173726.99670.f0","article-title":"Anatomic basis of dorsal finger skin cover","volume":"9","author":"Braga-Silva","year":"2005","journal-title":"Tech Hand Up Extrem Surg"},{"key":"R13-20230901","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1177\/1558944715614839","article-title":"Predictable pattern digital artery perforator flap: an alternative concept in digital reconstruction","volume":"11","author":"Kostopoulos","year":"2016","journal-title":"Hand (N Y)"},{"key":"R14-20230901","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1053\/jhsu.2001.20967","article-title":"Vascular basis of dorsal digital and metacarpal skin flaps","volume":"26","author":"Yang","year":"2001","journal-title":"J Hand Surg Am"},{"key":"R15-20230901","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.jhsa.2005.09.018","article-title":"Dupuytren\u2019s diathesis revisited: evaluation of prognostic indicators for risk of disease recurrence","volume":"31","author":"Hindocha","year":"2006","journal-title":"J Hand Surg Am"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00130911-201809000-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T01:29:21Z","timestamp":1693531761000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00130911-201809000-00008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000204","relation":{},"ISSN":["1089-3393"],"issn-type":[{"value":"1089-3393","type":"print"}],"subject":[],"published":{"date-parts":[[2018,9]]}}}