American Society of Plastic Surgeons
Member Log In For Consumers

 Shop Home

 Home  Cart

Product Image

DVD - Surgery Spotlight: Dupuytren's Contracture

Login Required
To add this product to your cart, please log in.

Price $30.00 In Stock

Product Description

In this video, Michael Neumeister, MD demonstrates Dupuytren’s excision of the fascia. Since recurrence is common in patients who are diagnosed with Dupuytren’s disease, Dr. Neumeister explains how the procedure can be significantly more complicated in patients who have previously undergone the procedure. He further explains various options to take into consideration when running into complications, such as flap loss, hematoma, infection, loss of flexion and ischemia to the finger.

Sponsored by the American Society of Plastic Surgeons® (ASPS®)

Author: Michael W. Neumeister, MD

Intended Audience
This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals interested in translating expanded knowledge into practice for the improvement of patient outcomes in plastic and reconstructive surgery.
Educational Overview

In this video, Michael Neumeister, MD demonstrates Dupuytren's excision of the fascia (otherwise known as Limited Fasciectomy, popularized by Hueston, 1961*). A series of videos puts you in the operating room from the Surgeon's point of view as Neumeister resects the diseased fascia that is causing contracture is removed under thin skin flaps in continuity with the pretendinous cord in the palm and the spiral chord and central cords in the digit. The incisions required for this procedure can be performed with Brunner incisions, modified to form Y-to-V advancements or longitudinal incisions with interposed Z-plasties. Once the central chord has been resected, the metacarpophalangeal joint contracture is completely released.  Since recurrence is common in patients who are diagnosed with Dupuytren's disease, Dr. Neumeister explains how the procedure can be significantly more complicated in patients who have previously undergone the procedure. He further explains various options to take when running into complications such as flap loss, hematoma, infection, loss of flexion, and ischemia to the finger.

*Hueston, J.T.. Limited fasciectomy for Dupuytren's contracture. Plastic and Reconstr. Surg. 27: 569, 1961.

Learning Objectives
Upon completion of the online course, the participant should be able to:

1. Understand the pathophysiology of Dupuytren's disease.

2. Know that Dupuytren's diathesis includes bilaterality, positive family history, ectopic Dupuytren's disease, Northern European origin, and onset is seen in more males.

3. Perform a Z-plasties to lengthen the skin shortage and thus, allowing normal range of motion for each digit. 

4. Be comfortable resecting the diseased fascia from the neurovascular bundles in the normal tissue, once the neurovascular bundles and artery have been isolated.

5. Overcome various complications that may occur during surgery.

Dr. Neumeister has nothing to disclose.  All ASPS staff members managing this activity have no relevant financial relationships or affiliations to disclose.  All identified conflicts of interest have been resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations.  The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials.

Systems Requirements:
Participants must have internet access, browser software (either Chrome, Firefox, or InternetExplorer), Adobe Flash, and Adobe Reader. Supported Operating & Browser Systems: Microsoft Windows - IE7 or later, Firefox 3.x or later, Chrome 8.x or later. Macintosh Mac OS - Firefox 3.x or later, Safari 4.x or later. Linux - Firefox 3.x or later. Minimum Hardware Configurations: Windows - Intel Pentium II 450MHz or faster processor and 128MB of RAM. Macintosh - Power PC G3 500 MHz or faster processor OR Intel Core Duo 1.33GHz or faster processor and 128MB of RAM. Linux - Modern processor 800MHz or faster and 512MB of RAM with 128MB of graphics memory.

Medical Disclaimer
The American Society of Plastic Surgeons* (ASPS*) maintains this website to provide information of a general nature about the specialty of plastic surgery. Additionally, any instrumentation shown on the site may or may not have received FDA approval. Any information in the publications, messages, postings, articles, online courses on the website should not be considered a substitute for consultation with a board-certified plastic surgeon to address individual medical needs. Your particular facts and circumstances will determine the plastic surgery treatment which is most appropriate for you.

Intellectual Property Notice
All materials published on the website (including but not limited to articles, photographs, images, illustrations, audio clips and video clips) are protected by copyrights which are owned and controlled by ASPS or the party credited as the provider of the material. The entire contents of the website are also copyrighted as a collective work under the United States copyright laws, and the selection, coordination, arrangement and enhancement of such content are protected by copyright. You shall abide by all copyright notices and other restrictions contained in any material accessed through the website. No material from the website may be copied, reproduced, republished, uploaded, posted, transmitted, or distributed in any way, except that you may download one copy of the materials on any single computer (or other electronic device) for your personal, noncommercial use, and may print one hard copy of the material on the website for your personal, noncommercial use, provided you keep intact all copyright and other proprietary notices. You acknowledge that you do not acquire any ownership rights by downloading or printing copyrighted material. Modification of the materials or use of the materials for any purpose other than personal, noncommercial use is a violation of the respective owners' copyrights and other proprietary rights. The use of any such material on any other website or networked computer environment is prohibited. All trademarks, service marks, and trade names are proprietary to ASPS or the other designated owner of a posted mark. Elements of the website are protected by trade dress and other laws and may not be copied or imitated in whole or in part.

Privacy Policy
The ASPS believes that user privacy is integral to the success, growth and use of the Internet. This statement describes the practices that ASPS will follow in respect to the privacy of website users. This statement may be reviewed and changed as new services and programs are introduced which require modifications to this statement. ASPS encourages you to re-read this Privacy Policy periodically. The ASPS does not collect personally identifiable information regarding the users of its website - including e-mail addresses - without asking the user. In some instances, ASPS may request that users voluntarily supply information, including e-mail address, street address, telephone number or other information, to allow the society to personalize and enhance a users' website visit or to provide the opportunity for follow up after the website visit. Whether users provide information is entirely voluntary. You must be at least 18 years old to have our permission to use this website. Our policy is that we do not knowingly collect, use or disclose personally identifiable information about visitors under 18 years of age.

Use of Information Provided: If you voluntarily provide information, you consent to the collection and use of your personally identifiable information by ASPS. However, ASPS does not sell or rent personal information collected through this site to anyone. ASPS may provide aggregate statistics about website visitors, such as volume, traffic patterns, referral sources and related site information to reputable third-party vendors, but these statistics will include no personally identifiable information about the users. ASPS may also disclose information in special cases when it has a good faith belief that such action is necessary to: (a) conform to legal requirements or comply with legal process; (b) protect and defend our rights or property; (c) enforce the website Terms of Use; or (d) act to protect the interests of our users or others. Occasionally, ASPS may be required by law enforcement or judicial authorities to provide personally identifiable information to the appropriate governmental authorities. We will disclose such information upon receipt of a court order, subpoena, or to cooperate with a law enforcement investigation. ASPS reserve the right to report to law enforcement agencies any activities that we in good faith believe to be unlawful. If you have voluntarily provided personally identifiable information, ASPS may, from time to time, send mail or e-mail to you regarding products and services. If you do not want to receive such offers and mailings, you can easily indicate that by checking the appropriate box on the submission form.

Regarding Cookies: ASPS may utilize a standard Internet technology called "cookies" to collect information about how the society's website is accessed and utilized. Cookies can allow a website operator to determine that a user visited the site in the past and thus save and remember preferences that the user may have set while browsing the site. Cookies do not allow the website to retrieve any other data from your hard drive or obtain your e-mail address. ASPS may also make use of memory-based cookies in support of authenticating the user of certain ASPS web applications. While users maintain the ability to modify browser settings to either accept all cookies, notify you when a cookie is sent, or reject all cookies, it may not be possible to utilize certain ASPS services which require registration if the browser is set to reject cookies.

Other Sites: This website contains links to other sites. While ASPS strives to link only to sites that share our high standards and respect for privacy, the society is not responsible for the privacy practices employed by other sites. If you have questions or concerns regarding this statement, you should contact us at

Questions: Contact the American Society of Plastic Surgeons (ASPS) Online Education Department via Phone: 1-800-766-4955 or Email:

* “American Society of Plastic Surgeons” and “ASPS” are registered trademarks of American Society of Plastic Surgeons, a not-for-profit Corporation.


Return Policy for Downloaded and Viewable Products
Products which are downloaded or viewable after purchase may not be returned. By placing an order you are agreeing to the product return terms and conditions set forth by this site. ASPS Shop Return Policy

Product Code: 11-PSENDVD16537