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Dermofasciectomy: a long term review.

C Kelly1, J Varian

  • 1Blackrock Clinic, Co Dublin, Ireland.

Annales De Chirurgie De La Main Et Du Membre Superieur : Organe Officiel Des Societes De Chirurgie De La Main = Annals of Hand and Upper Limb Surgery
|January 1, 1992
PubMed
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Dermofasciectomy remains the preferred surgical option for aggressive Dupuytren's disease, despite a significant increase in disease extension over time. Recurrence rates have remained stable, with few instances of recurrence under skin grafts.

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Plastic Surgery

Background:

  • Dupuytren's disease is a progressive condition affecting the hand.
  • Aggressive forms require effective surgical management.
  • Dermofasciectomy is a common surgical approach.

Purpose of the Study:

  • To evaluate the long-term efficacy of dermofasciectomy for aggressive Dupuytren's disease.
  • To assess changes in disease extension and recurrence rates over time.

Main Methods:

  • Retrospective review of 32 dermofasciectomies in 24 patients.
  • Average follow-up of 13 years.
  • Comparison with data from 10 years prior.

Main Results:

  • Significant increase in disease extension from 24% to 79% over the follow-up period.

Related Experiment Videos

  • Constant recurrence rate of 47%.
  • Only two recurrences (4%) occurred beneath skin grafts.

    • Conclusions:

    • Dermofasciectomy is a durable surgical option for aggressive Dupuytren's disease.
    • The procedure demonstrates consistent recurrence rates despite disease progression.
    • Skin grafting appears effective in preventing recurrence at the graft site.