AI Article Synopsis
- - The study investigates the long-term outcomes of a surgical technique called Malingue plasty for treating Dupuytren's disease, focusing on functional, aesthetic, and recurrence metrics over a minimum of 5 years post-operation.
- - Out of 107 patients, 55 were studied, with successful correction of joint deformities and no major complications reported; however, the mean extension deficit was 18.1° and a recurrence rate was observed in 50% of patients based on one set of criteria.
- - Although Malingue plasty shows good functional scores and no immediate complications, it does not significantly reduce recurrence rates compared to other surgical methods, highlighting the ongoing challenges in treatment effectiveness for Dupuytren's disease.
Article Abstract
Objectives: The choice of surgical technique for aponeurectomy in Dupuytren's disease is controversial due to varying outcomes and complication rates. The Malingue plasty has shown mathematical and mechanical advantages, but long-term efficacy and results compared to other techniques have never been reported. This study aimed to evaluate the long-term functional, esthetic and recurrence outcomes of Malingue plasty in Dupuytren's disease.
Material And Methods: The study included patients who underwent aponeurectomy with Malingue plasty performed by a highly experienced surgeon between January 2014 and December 2016, with a minimum follow-up of 5 years. Preoperative records were analyzed. At follow-up, extension lag was analyzed in each joint (metacarpophalangeal, proximal interphalangeal and distal interphalangeal) in each operated finger, as well as signs of recurrence or extension of the disease. Function and esthetics were assessed using the QuickDASH (Disabilities of the Arm, Shoulder and Hand) questionnaire and the Michigan Hand Outcomes Questionnaire.
Results: Out of 107 eligible patients, 55 were included in the study after exclusions and loss to follow-up. Three patients required revision surgery for recurrence during follow-up. All preoperative deformities of the proximal interphalangeal and metacarpophalangeal joints were corrected postoperatively, and no intraoperative or postoperative complications occurred. Mean extension deficit at follow-up was 18.1 °. Only the little finger showed significant loss of correction (p = 0.02). Mean QuickDASH score was 13.2 and the overall Michigan Hand Outcomes Questionnaire score was 91.8%. Recurrence affected 50% of patients according to the Leclercq criteria and 27.5% according to the Felici criteria.
Conclusion: Although Malingue plasty did not improve the recurrence rate in Dupuytren's disease compared with other techniques, its advantages in terms of functional improvement and complications make it an interesting surgical option.
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| http://dx.doi.org/10.1016/j.hansur.2024.101744 | DOI Listing |
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Long-term results of the Malingue technique in the surgical treatment of Dupuytren's disease.
Hand Surg Rehabil
September 2024
Centre de la Main, 47 Rue de la Foucaudière, 49800 Trélazé, France. Electronic address:
Article Synopsis
- - The study investigates the long-term outcomes of a surgical technique called Malingue plasty for treating Dupuytren's disease, focusing on functional, aesthetic, and recurrence metrics over a minimum of 5 years post-operation.
- - Out of 107 patients, 55 were studied, with successful correction of joint deformities and no major complications reported; however, the mean extension deficit was 18.1° and a recurrence rate was observed in 50% of patients based on one set of criteria.
- - Although Malingue plasty shows good functional scores and no immediate complications, it does not significantly reduce recurrence rates compared to other surgical methods, highlighting the ongoing challenges in treatment effectiveness for Dupuytren's disease.
Modeling and concepts of the Malingue plasty compared to Z-plasty.
Hand Surg Rehabil
April 2023
Centre de la Main, 47 Rue de la Foucaudière, 49800 Trélazé, France. Electronic address:
Malingue's diamond-shaped skin plasty is a random skin plasty derived from the Z-plasty. Not widely known, this technique is an alternative to fasciectomy in Dupuytren's disease. The main objective of the present study was to analyze the topographical and anatomical differences between Z-plasty and Malingue plasty in cadaveric and experimental models and the geometrical and mathematical differences in modeling, in order to determine the respective gains in length.
View Article and Find Full Text PDF[Malingue's procedure for digital retraction in Dupuytren's contracture--principle, modelling and clinical evaluation].
Chir Main
February 2011
Département de chirurgie osseuse, CHU d'Angers, 1 rue Larrey, Angers, France.
Introduction: Malingue's procedure is a modified Z-plasty for the treatment of digital retraction in Dupuytren's contracture. Geometrical modelling was used to determine the theoretical efficacy of the technique, and the clinical value of the method was assessed with a follow-up of 23 patients over at least two years.
Material And Methods: Unlike Z-plasty, in which the skin flaps transposed are triangular, the Malingue plasty uses trapezoidal flaps.
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