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Skin replacement in Dupuytren's disease
P N Hall1, A Fitzgerald, G D Sterne
1Department of Plastic Surgery, West Norwich Hospital, UK.
Journal of Hand Surgery (Edinburgh, Scotland)
|April 1, 1997
Summary
Radical digital dermofasciectomy effectively treats Dupuytren
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Plastic Surgery
Background:
- Dupuytren's disease is a progressive condition affecting the hand.
- Recurrent cases and those with significant skin involvement pose treatment challenges.
Purpose of the Study:
- To evaluate the efficacy of radical digital dermofasciectomy for Dupuytren's disease.
- To assess outcomes in patients undergoing reoperation or primary procedures with skin involvement.
Main Methods:
- Review of 90 cases in 67 patients who underwent radical digital dermofasciectomy.
- Follow-up duration ranged from 24 to 100 months.
Main Results:
- An 8% recurrence rate was observed, indicating improved disease control compared to standard methods.
- Complications included issues with skin grafts, two-point discrimination, and joint range of motion.
Conclusions:
- Radical digital dermofasciectomy demonstrates superior disease control for recurrent Dupuytren's disease.
- This procedure is recommended for reoperations and primary cases with substantial skin involvement.