Results of Partial Fasciectomy for Dupuytren Disease in 261 Consecutive Patients

In Brief Many different surgical techniques are still being used for Dupuytren disease. The outcome of 558 consecutive operations with 1 technique was reviewed. Distinct subgroups were made to detect risk factors for a poor outcome and complications. The mean follow-up time was 7.3 years. Younger patients (first surgery before 45 years) were operated significantly more than older patients (after 45 years). Results of contracted proximal interphalangeal (PIP) joints were significantly worse than other joints. The overall complication rate was 26%. Nerve lesions occurred in 7.7%. Young age proved to be a prognostic factor for the total number of operations. The contracted PIP joints will lead to more complications and poorer result. The risk at nerve lesion, necrosis, and infection are higher for recurrent surgery. These findings can be used in advising patients. A review of 558 partial fasciectomies for Dupuytren's contracture performed through linear incisions with or without Z-plasties disclosed a greater number of operations in those with a family diathesis and in those first operated under 45 years of age. Complications included 4.5% CRPS, 7.7% nerve lesions, and variable rates of PIP extension lag.