Dupuytren's Disease: Review of the Current Literature

Khashan, Morsi; Smitham, Peter; Khan, Wasim; Goddard, N J

doi:10.2174/1874325001105010283

Cited by 37 publications

(23 citation statements)

References 71 publications

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“…Dermofasciectomy is still a valid treatment option in patients with recurrence or extensive skin involvement 3 . Although fasciectomy and selective fasciectomy are similar in terms of functionality and recurrence rates, complication and morbidity rates are strikingly higher with radical fasciectomy 16 . Khan et al 13 employed regional fasciectomy in 27 of their 30 patients and reported excellent and good results in 97% of the patients after five years of follow-up.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment results for dupuytren's disease

Aykut¹,

Baydar²,

Büyük

et al. 2017

Acta ortop. bras.

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Objective: To present the results of our cases of Dupuytren's disease treated with regional selective fasciectomy in light of the literature. Methods: Patients diagnosed with Dupuytren's contracture and surgically treated with regional selective fasciectomy at our institution with adequate follow-up data were included in the study. All patients were routinely followed after surgery to assess results and complications. QuickDASH scoring was used to evaluate the patients and recurrences and complications were recorded. Results: Twenty-one hands of 19 patients (13 males, 6 females) who underwent surgery and received adequate follow-up were retrospectively evaluated. Mean patient age was 65.8 (range: 41 to 86) and the mean follow-up period was 48.2 months (range: 24 to 86). Fourteen (66.6%) hands had excellent results, five (23%) hands had good results and two (9.4%) had fair results. The mean QuickDASH score for the patients at the final follow-up was 6.58 (range: 0 to 20.4). Conclusion: Our study results demonstrated that regional selective fasciectomy is a reliable and efficient method to treat Dupuytren's disease with low rates of complications and recurrence and the technique can be considered the gold standard. Level of Evidence IV, Case Series. Keywords

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Section: Discussionmentioning

confidence: 99%

Surgical treatment results for dupuytren's disease

Aykut¹,

Baydar²,

Büyük

et al. 2017

Acta ortop. bras.

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“…Recent review articles reflect both a greater focus on genetics and 1,2 molecular biology [3][4][5][6] and an openness to alternative treatments. [7][8][9][10] …”

Section: Reviewsmentioning

confidence: 99%

Evidence-Based Medicine

Eaton

2014

Plastic and Reconstructive Surgery

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The large body of existing literature on Dupuytren disease is spread across many journals in many specialties. It is thus a daunting task for practitioners to follow trends and practice recommendations. It is also a testimony to the lack of an acceptable solution to this common problem. Recent publications provide evidence to highlight controversies and challenge some traditional teachings. Literature from 2010 to 2012 was reviewed with the intent of clarifying some of these issues.

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“…Main characteristic of the Dupuytren's disease is palmar aponeurosis hyperplasy and contraction which leads to finger flexion contracture [35]. Peyronie's and Dupuytren's diseases have common pathophysiology [36].…”

Section: Pathophysiologymentioning

confidence: 99%