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.

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.

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 Skin involvement in Dupuytren’s disease

2015 ◽  
Vol 41 (6) ◽  
pp. 600-608 ◽  
Author(s):  
R. Wade ◽  
L. Igali ◽  
A. Figus
Keyword(s):  
Clinical Features ◽  
Clinical Assessment ◽  
Dupuytren’S Disease ◽  
Angular Deformity ◽  
Skin Involvement ◽  
Level Of Evidence ◽  
Single Digit ◽  
Dupuytren's Disease ◽  
Manual Labour ◽  
Palmar Skin

Whether the palmar skin has a role in the development, propagation or recurrence of Dupuytren’s disease remains unclear. Clinical assessment for skin involvement is difficult and its correlation with histology uncertain. We prospectively biopsied the palmar skin of consecutive patients undergoing single digit fasciectomy (for primary Dupuytren’s disease without clinically involved skin) and dermofasciectomy (for clinically involved skin or recurrence) in order to investigate this relationship. We found dermal fibromatosis in 22 of 44 patients (50%) undergoing fasciectomy and 41 of 59 patients (70%) undergoing dermofasciectomy. Dermal fibromatosis appeared to be associated with greater preoperative angular deformity, presence of palmar nodules and occupations involving manual labour. Dermal fibromatosis exists in the absence of clinical features of skin involvement and we hypothesize that the skin may have a greater role in the development and propagation of Dupuytren’s disease than previously thought. Level of evidence: III

Sign in / Sign up

Export Citation Format

Share Document