{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T15:35:53Z","timestamp":1788104153249,"version":"build-2803163510"},"reference-count":23,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[2009,3,1]],"date-time":"2009-03-01T00:00:00Z","timestamp":1235865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:p> We randomised 79 patients (84 hands, 90 fingers) with Dupuytren\u2019s contracture of the proximal interphalangeal joint to have either a \u2018firebreak\u2019 skin graft (39 patients, 41 hands, 44 fingers) or a fasciectomy (40 patients, 43 hands, 46 fingers) if, after full correction, the skin over the proximal phalanx could be easily closed by a Z-plasty. Patients were reviewed after three, six, 12, 24 and 36 months to note any complications, the range of movement and recurrence. Both groups were similar in regard to age, gender and factors considered to influence the outcome such as bilateral disease, family history, the presence of diabetes, smoking and alcohol intake. <\/jats:p><jats:p> The degree of contracture of the metacarpophalangeal and interphalangeal joints of the operated fingers was similar in the two groups and both were comparable in terms of grip strength, range of movement and disability at each follow-up. The recurrence rate was 12.2%. <\/jats:p><jats:p> We did not identify any improvement in correction or recurrence of contracture after firebreak dermofasciectomy up to three years after surgery. <\/jats:p>","DOI":"10.1302\/0301-620x.91b3.21054","type":"journal-article","created":{"date-parts":[[2009,3,3]],"date-time":"2009-03-03T22:48:56Z","timestamp":1236120536000},"page":"374-378","source":"Crossref","is-referenced-by-count":97,"title":["Does a \u2018firebreak\u2019 full-thickness skin graft prevent recurrence after surgery for Dupuytren\u2019s contracture?"],"prefix":"10.1302","volume":"91-B","author":[{"given":"A. S.","family":"Ullah","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Groby, Road, Leicester LE3 9QP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. J.","family":"Dias","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Groby, Road, Leicester LE3 9QP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Bhowal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Groby, Road, Leicester LE3 9QP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2004.05.008"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1308\/003588406X117070"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(84)80018-2"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.82B1.0820090"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Hall PN, Fitzgerald A, Sterne GD, Logan AM. Skin replacement in Dupuytren\u2019s disease. J Hand Surg [Br] 1997;22:1293\u20137.","DOI":"10.1016\/S0266-7681(97)80061-7"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(85)80060-7"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1984.tb05317.x"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"M\u00e4kel\u00e4 E, Jaroma H, Harju A, Anttila S, Vainio J. Dupuytren\u2019s contracture: the long-term results after day surgery. J Hand Surg [Br] 1991;16:272\u20134.","DOI":"10.1016\/0266-7681(91)90052-P"},{"key":"R9","unstructured":"Machin D, Campbell M, Fayers P, Pinol A. Sample size tables for clinical studies. 2nd edition. Oxford: Blackwell Science Ltd, 1997."},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04337-3"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Dias JJ, Bhowal B, Wildin CJ, Thompson JR. Assessing the outcome of disorders of the hand: is the patient evaluation measure reliable, valid, responsive and without bias? J Bone Joint Surg [Br] 2001;83:235\u201340.","DOI":"10.1302\/0301-620X.83B2.0830235"},{"key":"R12","unstructured":"Leech Nl, Barrett KC, Morgan GA. SPSS for intermediate statistics: use and interpretation. second edition. London: Lawrence Erlbaum Associates, Publishers, 2005:147\u2013153."},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(02)00360-1"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90029-F"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198205000-00021"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Varian JP, Hueston JT. Occurrence of Dupuytren\u2019s disease beneath a full thickness skin graft: a semantic reappraisal. Ann Chir Main Memb Super 1990;9:376\u20138.","DOI":"10.1016\/S0753-9053(05)80513-7"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Citron N, Hearnden A. Skin tension in the aetiology of Dupuytren\u2019s disease: a prospective trial. J Hand Surg [Br] 2003;28:528\u201330.","DOI":"10.1016\/S0266-7681(03)00221-3"},{"key":"R18","unstructured":"Hueston JT. Dermofasciectomy for Dupuytren\u2019s disease. Bull Hosp Jt Dis Orthop Inst 1984;44:224\u201332."},{"key":"R19","unstructured":"Roy N, Sharma D, Mirza A, Fahmy N. Fasciectomy and conservative full thickness skin grafting in Dupuytren\u2019s contracture: the fish technique. Acta Orthop Belg 2006;72:678\u201382."},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Ketchum LD. The use of the full thickness skin graft in Dupuytren\u2019s contracture. Hand Clin 1991;7:731\u201341.","DOI":"10.1016\/S0749-0712(21)00917-3"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(85)80061-9"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2006.05.005"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-196301000-00008"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.91B3.21054","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.91B3.21054","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.91B3.21054","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T18:09:59Z","timestamp":1629137399000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.91B3.21054"}},"subtitle":["A PROSPECTIVE, RANDOMISED TRIAL"],"short-title":[],"issued":{"date-parts":[[2009,3]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,3]]}},"alternative-id":["10.1302\/0301-620X.91B3.21054"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.91b3.21054","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,3]]}}}