IS THERE ANY PLACE LEFT FOR SURGERY

IN THE TREATMENT OF  DUPUYTREN'S CONTRACTURE ?


We believe, as do a few hand surgeons, that needle aponeurotomy is indeed the most suitable first-line procedure for stages I to III of Dupuytren's disease.

In case of the unlikely failure of this technique, surgical procedure is still available.

Sectioning digital bands is not a contraindication for a skilled physician having a good knowlegde of hand anatomy.

However, it is advisable to entrust a surgeon with the task of treating post-sympathetic dystrophy forms, very progressive forms, wide bands with adherent overlying skin and contractured scars.

In conclusion, we are convinced that only 10 to 15% of Dupuytren's diseases should be treated surgically, whereas most of the contractured digits can be extended within two or three needle aponeurotomy sessions.

 

 

Back to summary.