Recurrence after Surgery for Dupuytren’s Disease: A Randomized Trial of Two Skin Incisions

2005 ◽  
Vol 30 (6) ◽  
pp. 563-566 ◽  
Author(s):  
N. D. CITRON ◽  
V. NUNEZ
Keyword(s):  
Randomized Trial ◽  
Recurrence Rate ◽  
Statistical Difference ◽  
Skin Incision ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Longitudinal Incision

We studied the influence of the type of skin incision on the recurrence rate following fasciectomy for Dupuytren’s disease. Patients were randomized to a longitudinal incision closed with Z-plasties or a modified Bruner incision closed by Y–V plasties. Follow-up was for at least 2 years or until a recurrence was noted. We found no statistical difference in recurrence rate between patients having these two skin incisions and closures.

Skin Replacement in Dupuytren’s Disease

1997 ◽  
Vol 22 (2) ◽  
pp. 193-197 ◽  
Author(s):  
P. N. HALL ◽  
A. FITZGERALD ◽  
G. D. STERNE ◽  
A. M. LOGAN
Keyword(s):  
Disease Control ◽  
Recurrence Rate ◽  
Dupuytren’S Disease ◽  
Skin Grafts ◽  
Skin Involvement ◽  
Joint Movement ◽  
Dupuytren's Disease ◽  
Primary Procedure ◽  
Skin Replacement

We have reviewed 90 rays in 67 patients who had undergone radical digital dermofasciectomy. Follow-up was from 24 to 100 months. Problems with skin grafts, moving two-point discrimination and active range of joint movement were noted. The recurrence rate in this series was 8%, a very much better figure for disease control than has been reported for standard approaches for Dupuytren’s disease. Radical digital dermofasciectomy is strongly recommended for all cases of recurrent Dupuytren’s disease requiring reoperation and as a primary procedure when there is significant skin involvement.

A Comparison of the Direct Outcomes of Percutaneous Needle Fasciotomy and Limited Fasciectomy for Dupuytren’s Disease: A 6-Week Follow-Up Study

2006 ◽  
Vol 31 (5) ◽  
pp. 717-725 ◽  
Author(s):  
Annet L. van Rijssen ◽  
Feike S.J. Gerbrandy ◽  
Hein Ter Linden ◽  
Helen Klip ◽  
Paul M.N. Werker
Keyword(s):  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Follow Up Study ◽  
Limited Fasciectomy

scholarly journals Iterative percutaneous needle aponeurotomy for Dupuytren's disease: Functional results at 5-year follow-up

2018 ◽  
Vol 61 ◽  
pp. e19
Author(s):  
J. Beaudreuil ◽  
M. Ferrari ◽  
H. Lellouche ◽  
E. Roulot ◽  
A. Yelnik ◽  
...  
Keyword(s):  
Functional Results ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Needle Aponeurotomy

scholarly journals Surgical management of Dupuytren contracture of the ring finger: a case report

2020 ◽  
Vol 8 (4) ◽  
pp. 1570
Author(s):  
Gede Ketut Alit Satria Nugraha ◽  
Made Bramantya Karna ◽  
Gde Dedy Andika ◽  
Made Sunaria
Keyword(s):  
Gold Standard ◽  
Ring Finger ◽  
High Rate ◽  
Dupuytren’S Disease ◽  
Dupuytren’S Contracture ◽  
Dupuytren's Disease ◽  
Disease Etiology ◽  
Dupuytren's Contracture ◽  
Scar Assessment

Dupuytren’s disease, also called Dupuytren’s contracture or palmar fibromatosis, is a condition in which the connective tissue under the skin of the palm contracts and toughens over time. The gold standard treatment for Dupuytren’s contracture is surgery. We present a case of Dupuytren’s contracture treated with Bruner incision which resulted in good functional outcome. A 79 year old male presented to our Orthopaedic Clinic RSUP Sanglah Denpasar with the complaints of pain and stiffness on his left ring finger since 5 years ago. Patient had same history with his right hand and had operation 20 years ago. The patient underwent release of contracture using Bruner incision and had no complaint in 6 month follow-up. Extension deficit was <5°, reduction of contracture was >50%, the Patient and Observer Scar Assessment Scale (POSAS) gave overall opinion of the scar being minimal. The Dupuytren's disease etiology remains uncertain, with genetics perceived as most probable factor. Despite short-term success, there is a high rate of recurrent contracture with additional comorbidities such as wound-healing complications and neurovascular injury. In this case, the patient was treated using fasciotomy with Bruner incision and had satisfying outcome. Fasciotomy is known to have less complication in terms of recurrence. Dupuytren disease is characterized by abnormal thickening of the palmar fascia beneath the skin and the gold standard of treatment is surgery. This case presented surgical treatment using Bruner incision which had satisfying outcome in 6 month follow-up.

The association between intraoperative correction of Dupuytren’s disease and residual postoperative contracture

2009 ◽  
Vol 35 (3) ◽  
pp. 220-223 ◽  
Author(s):  
O. W. Donaldson ◽  
D. Pearson ◽  
R. Reynolds ◽  
R. K. Bhatia
Keyword(s):  
Prospective Study ◽  
Postoperative Outcome ◽  
Surgical Correction ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Full Correction ◽  
A Prospective Study ◽  
Preoperative Deformity

The purpose of this study was to determine whether preoperative contracture and the amount of intraoperative correction can be used to predict the postoperative outcome of fasciectomy for Dupuytren’s disease. A prospective study of 52 patients undergoing primary fasciectomy during an 18 month period was undertaken. The contracture of each joint was measured preoperatively, after fasciectomy during the operation and 6 months after surgery. Forty-two metacarpophalangeal (MCPJ) and 58 proximal interphalangeal (PIPJ) joints were treated surgically. Full intraoperative correction was achieved in 41 MCPJs. Thirty-seven had full correction at follow-up. Full intraoperative correction was obtained in 35 PIPJs and 13 had complete correction at follow-up. The extent of the preoperative deformity was a significant predictor of complete intraoperative correction. The extent of both preoperative deformity and intraoperative correction were significant predictors of loss of surgical correction after operation.

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