Dupuytren’s disease with severe finger contractures and recurrent contractures following
previous surgery often have extensive skin involvement. In these severe cases, excision
of the diseased chord along with the involved skin is a good option to reduce the
risk of recurrance. The resulting skin defect can be covered with a full thickness
skin graft (FTSG) or a cross finger flap. Cross finger flaps have donor finger morbidity
and hence a full thickness graft is usually preferred. The FTSG extending to the midlateral
margins on both sides of the finger reduces the risk of joint contracture due to graft
shrinkage. Once the FTSG is sutured in place, the standard practice is to compress
and secure the graft to its recipient bed with a tie-over dressing and this can be
time consuming. We present a simple dressing technique to secure the FTSG without
the need for a tie-over dressing.
Keywords
Dermofasciectomy - Skin graft - Tie-over - Simple dressing
