Results of Surgery Treatment of Dupuytren’s Contracture in 115 Patients
Reuf Karabeg, Malik Jakirlic, Selma Arslanagic, Vanis Dujso, Goran Obradovic, Adnan Zeco
Med Arh. 2012; 66(5): 329-331

View PDF Fulltext


Introduction: Dupuytren’s disease (DD) is a progressive fibroproliferative disorder of the hand causing digital flexion contracture. Treatment goals include removing or releasing the fibrotic cord to allow extension of the affected finger(s) and restoration of hand function. Material and Methods: In study period from 2001 through 2008, evaluation was performed in 115 patients. Limited or extensive fasciectomy was performed in all patients. Tubiana classification sheme to rate severity of DD was used. Results: There were 106 male patients ( mean age 62.6 years) and 9 female patients (mean age 66.3 years). Before the operation, 38% of all patients were at Tubiana stage I, 32% were at stage II , 22 % were at stage III and 8% were at stage IV. Of all patients, 43% were diagnosed with Dupuytren’s in only one finger, 39% in two fingers and 18% in three fingers. In 23% of patients DD were diagnosed on both hands. Limited fasciectomy was peformed in 90,4% of patients and extensive fasciectomy in 9,6% of patients. The Tubiana stage achived after surgery was lower in 98% of patients. As a final result after surgery, 66% of patients didn’t have contracture, stage I was reported in 28% and stage II in 3% of patients. There were no patients with Tubiana stage III or more after surgery. Postoperative complications were noted in 18% of patients. Wound healing problems were present 12% of patients. Haematoma was reported 5% of patients. Of all patients 22% had diabetes mellitus. Conclusion: DD is much more common in male than in female patients. Most of the patients are diagnosed at Tubiana stage I and II. Surgical correction has led to an improvement in most patients. Limited fasciectomy is still the gold-standard in DD treatment. Extensive fasciectomy or dermofasciectomy is preformed only in most severe cases.


1. Bayat A, McGrouther DA. Management of Dupuytren’s disease–clear advice for an elusive condition. Ann R Coll Surg Engl. 2006; 88(1): 3-8.

2. Townley WA, Baker R, Sheppard N, Grobbelaar AO. Dupuytren’s contracture unfolded. BMJ. 2006; 332: 397-400.

3. Cederlund RI, Thomsen N, Thrainsdottir S, Eriksson KF, Sundkvist G, Dahlin LB. Hand disorders, hand function, and activities of daily living in elderly men with type 2 diabetes. J Diabetes Complications. 2009; 23: 32-39.

4. Crean SM, Gerber RA, Graverand MP, Boyd DM, Cappelleri JC. The efficacy and safety of fasciectomy and fasciotomy for Dupuytren’s contracture in European patients: a structured review of published studies. J Hand Surg Eur. 2011; 36: 396-407.

5. Desai SS, Hentz VR. The treatment of Dupuytren disease. J Hand Surg Am. 2011; 36: 936-942.

6. Eaton C. Percutaneous fasciotomy for Dupuytren’s contracture. J Hand Surg Am. 2011; 36: 910-915.

7. Becker GW, Davis TR. The outcome of surgical treatments for primary Dupuytren’s disease–a systematic review. J Hand Surg Eur. 2010; 35: 623-626.

8. Gerber R, Perry R, Thompson R, Bainbridge C. Dupuytren’s contracture: a retrospective database analysis to assess clinical management and costs in England. BMC Musculoskelet Disord. 2011; 12: 73.

9. Tubiana R, Leclercq C, Hurst LC, Badalamente MA, Mackin E. Dupuytren’s disease. London: Martin Dunitz; 2000.

10. Becker GW, Davis TR. The outcome of surgical treatments for primary Dupuytren’s disease–a systematic review. J Hand Surg Eur. 2010; 35: 623-626.

11. Bainbridge C, Dahlin L, Szczypa P, Cappelleri J, Guérin D, Gerber R. Current trends in the surgical management of Dupuytren’s disease in Europe: an analysis of patient charts. Eur Orthop Traumatol. 2012; 3(1): 31-41.

12. Anthony SG, Lozano-Calderon SA, Simmons BP, Jupiter JB. Gender ratio of Dupuytren’s disease in the modern U.S. population. Hand (N Y). 2008; 3(2): 87-90.

13. Misra A, Jain A, Ghazanfar R, Johnston T, Nanchahal J. Predicting the outcome of surgery for the proximal interphalangeal joint in Dupuytren’s disease. J Hand Surg. 2007: 32(2): 240-245.

14. Jerosh–Herold C, Shepstone L. Splinting after contracture release for Dupuytren’s contracture (SCoRD): protocol of a pragmatic, multi-centre, randomized controlled trial. BMC Musculoskelet Disord. 2008;30:9-62.

15. Larson D, Jerosch-Herold C. Clinical effectiveness of post-operative splinting after surgical release of Dupuytren’s contracture: a systematic review. BMC Musculoskelet Disord. 2008; 21(9):104-108.

Be the first to comment

Leave a Reply

Your email address will not be published.


Ova web-stranica koristi Akismet za zaštitu protiv spama. Saznajte kako se obrađuju podaci komentara.