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Clinical Results of Dermofasciectomy for Dupuytren’s Disease in Japanese Patients

From the Chiba Hand Surgery Institute, Sakura Orthopaedic Hospital, Japan, the Department of Orthopedic Surgery, Chiba Municipal Aoba Hospital, Japan and the Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Japan

Correspondence: Dr Yoshihiro Abe, M.D, Ph.D, 4-3-5, Osakidai, Sakura City, Chiba, 285-0817, Japan. Tel.: +81 43 483 2552; fax: +81 43 483 2551. E-mail:abe-yosh{at}pk9.so-net.ne.jp

The surgical outcomes of dermofasciectomy for Dupuytren’s disease were evaluated in nine hands of eight patients in a Japanese population. The patients were examined for postoperative complications, problems associated with the skin graft, evidence of recurrent disease, sensation over the graft and pre- and postoperative range of motion at the metacarpophalangeal and the proximal interphalangeal joints. The mean two-point discrimination over the skin graft was 14 mm. The mean remaining flexion contracture at the metacarpophalangeal joint was 5° and that at the proximal interphalangeal joint was 34°. Recurrence occurred in two patients: one had a minor nodule and the other a natatory cord, which did not result in the redevelopment of a contracture. This study supports the use of dermofasciectomy for the treatment of recurrent Dupuytren’s disease, as well as for the treatment of primary disease in those patients with a strong Dupuytren’s diathesis in this population.

Key Words: dupuytren’s disease • dermofasciectomy • dupuytren’s diathesis • japanese • recurrence

Journal of Hand Surgery (European Volume), Vol. 32, No. 4, 407-410 (2007)
DOI: 10.1016/J.JHSB.2006.12.011


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