Results of total aponeurectomy for Dupuytren’s contracture in 61 patients: a retrospective clinical study

Abstract

We suggest that total aponeurectomy is a promising alternative to partial fasciectomy with low risk for a recurrence and slightly increased risk for a nerve lesion.

Total vs. partial aponeurectomy for Dupuytren’s contracture — A literature review

“…Rates for necrosis varied amongst 0.97% [13], 1.5% [11], 6.34% [12] and 12.1% [10]. Algodystrophy was seen in 5.5% [10] and 17.5% [13] of the patients after total aponeurectomy.…”

“…Haematoma were noticed in 2.91% [13], 4.8% [12] and 7.7% [10,11]. Rates for necrosis varied amongst 0.97% [13], 1.5% [11], 6.34% [12] and 12.1% [10].…”

“…BRENNER [12] reported a rate of 2.8%, whilst HÖGEMANN et al [11] found a nerve lesion in 4.6% of patients. Nerval and arterial lesions were found in 9.7% in SENNWALD's study [13].…”

“…Other studies involved patient numbers of up to 91 [10,11,18,19]. The mean period between operation and review varied between 3-6 months and 47 months [11,13,18,19].…”

“…Although a total aponeurectomy, where all palmar tissue is removed, might reduce the risk of recurrent disease due to the widespread removal of aponeurosis, it is performed less frequently due to the potential complications of this technique. Haematomas and injuries to the neurovascular bundle are encountered most frequently [10][11][12][13].…”