Segmental aponeurectomy for Dupuytren's disease: a prospective study

Area of Science:

• Orthopedic Surgery
• Hand Surgery
• Musculoskeletal Disorders

Background:

• Dupuytren's contracture is a progressive condition affecting the hand.
• Surgical intervention is often required to restore function.
• Traditional fasciectomy can have complications and recurrence rates.

Purpose of the Study:

• To evaluate the efficacy and safety of segmental aponeurectomy for Dupuytren's contracture.
• To compare segmental aponeurectomy outcomes with limited fasciectomy.
• To assess complication and recurrence rates of segmental aponeurectomy.

Main Methods:

• Prospective study of 46 patients (50 hands) with primary Dupuytren's contracture.
• Utilized segmental aponeurectomy involving C-shaped incisions for diseased tissue excision.
• Follow-up included assessment of deformity correction, complications, and recurrence at one year.

Main Results:

• Segmental aponeurectomy provided comparable deformity correction to limited fasciectomy.
• Low incidence of complications: one wound complication, no hematomas.
• Minor complications included loss of flexion in two patients and one digital nerve injury.
• One-year recurrence rates were similar to other surgical techniques.

Conclusions:

• Segmental aponeurectomy is a safe and effective surgical option for Dupuytren's contracture.
• It offers comparable outcomes to limited fasciectomy with a favorable complication profile.
• Particularly suitable for elderly patients with primary Dupuytren's contracture.