Intracapsular injection of triamcinolone for intractable capsule contracture.

In a clinical experiment, patients with intractable capsular contracture were treated with intracapsular injections of triamcinolone. One group consisted of 16 patients with contractures that could not be released with closed compression. In this group, there was modest success, with correction of the problem without surgery in less than half. The second group consisted of 4 patients who had each had at least three previous closed capsulotomies with recurrent contracture. In this group, all contractures were resolved without operation. There were four major complications and several minor complications. Major complications included three cases of major atrophy requiring surgical correction. This problem appeared to have been eliminated by reduction of the dose. There was one implant puncture. The potential role of this method in clinical practice will require further study, but it appears to have its greatest utility in prevention of recurrent contracture.