Résultats à plus de dix ans de la maladie de Dupuytren

Total vs. partial aponeurectomy for Dupuytren’s contracture — A literature review

“…Lesions of the neurovascular bundle were noticed in 1.4% of the patients in BRENNER's study [12] and in 3.4% in NOROTTE's study [16].…”

“…The percentages for necrosis were 4.2% [12], 4.27% [14], 6.2% [10] and as high as 25.8% [16]. Other complications encountered were reported by GELDMACHER [14] who noticed algodystrophy in 2.18% of his patients, and MILLESI [10] …”

“…The two largest studies on partial aponeurectomy were reported by GELDMACHER [14] (n=1565) and BRENNER [12] (n=383 patients). Other studies referred to in this meta-analysis involve patient numbers of between 58 and 129 [9,10,[15][16][17]. The mean period between operation and review varied from 33 months to 10 years [9,[15][16][17].…”

“…Appropriate local and general conditions + contracture of no more than 45° at the joint affected most [20] Contractures of more than 45° at the joint affected most [20] Widespread disease [23,24] Ulnar manifestation [23] Aggressive, nodulous form of disease [25] Limited manifestation [26] NOROTTE's study [16] 3.4% of the patients suffered from algodystrophy.…”

“…With regard to recurrence, rates such as 24.1% [17], 27% [15], 50% [9] and 71% [16] were reported after partial aponeurectomy. Recurrence rates after total aponeurectomy varied amongst 5% [18], 10.8% [11], 21.4% [13] and 39.7% [19].…”