Results of Partial Fasciectomy for Dupuytren Disease in 261 Consecutive Patients

Abstract

Many different surgical techniques are still being used for Dupuytren disease. The outcome of 558 consecutive operations with 1 technique was reviewed. Distinct subgroups were made to detect risk factors for a poor outcome and complications. The mean follow-up time was 7.3 years. Younger patients (first surgery before 45 years) were operated significantly more than older patients (after 45 years). Results of contracted proximal interphalangeal (PIP) joints were significantly worse than other joints. The overall complication rate was 26%. Nerve lesions occurred in 7.7%. Young age proved to be a prognostic factor for the total number of operations. The contracted PIP joints will lead to more complications and poorer result. The risk at nerve lesion, necrosis, and infection are higher for recurrent surgery. These findings can be used in advising patients.

Evaluation of Activity Limitation and Digital Extension in Dupuytren's Contracture Three Months after Fasciectomy and Hand Therapy Interventions

“…The sample in this study is also comparable to other previously performed studies concerning age (2), heredity (29), and diabetes (4,30). Further, the drop-outs did not differ from the participants with respect to age, sex, duration of symptoms, heredity, diabetes, or unilateral or bilateral disease.…”

Injectable Collagenase Clostridium Histolyticum: A New Nonsurgical Treatment for Dupuytren's Disease

“…This may have slightly lowered double-blind efficacy results versus the open-label results, because contracture of high-severity PIP joints is typically harder to correct. 3,8 Collagenase treatment was well tolerated. Most AEs were related to the injection or finger extension procedure, were mild or moderate in intensity, and resolved without intervention.…”

“…Various procedures are used (ie, open fasciectomy, open fasciotomy, needle aponeurotomy), [1][2][3][4][5] although disadvantages are associated with each. Complications may occur, convalescence can be prolonged, extensive hand therapy is often needed, and disease extends or recurs in many patients.…”

Clinical Outcomes following Collagenase Injections Compared to Fasciectomy in the Treatment of Dupuytren's Contracture

“…Fasciectomy remains the most widely used procedure [4,22] to address MP and PIP joint contractures. The correction of contracture of the PIP joint is less predictable than the MCP joint, regardless of technique (fasciectomy, needle fasciotomy, enzymatic treatment) [21,[24][25][26].…”