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Surgical Treatment for Recurrent Dupuytren Disease
Bryan A Hozack1, Ghazi M Rayan1
1INTEGRIS Health, Oklahoma City, OK, USA.
Hand (New York, N.Y.)
|December 29, 2021
Summary
Revision surgery for recurrent Dupuytren disease (DD) is complex. Open partial fasciectomy, often with skin grafting, is the primary treatment for recurrent Dupuytren disease.
Area of Science:
- Hand surgery
- Orthopedic surgery
- Plastic surgery
Background:
- Recurrent Dupuytren disease (DD) presents significant surgical challenges.
- Previous treatments for DD include collagenase injection, needle fasciotomy, and open fasciectomy.
Approach:
- Retrospective review of 54 procedures for recurrent DD in 33 patients over 40 years.
- Analysis of surgical strategies and outcomes for recurrent DD.
Key Points:
- Most patients were male (82%) with bilateral involvement (64%) and family history (52%).
- The small finger (76%) and proximal interphalangeal (PIP) joint (83%) were most commonly affected.
- Open partial fasciectomy (72%) and dermofasciectomy (23%) were the most frequent procedures.
- Full-thickness skin grafts were required in 43% of cases.
Conclusions:
- Recurrent DD management is complex, often requiring open partial fasciectomy with or without dermofasciectomy.
- Nearly half of the patients required full-thickness skin grafting.
