Microfasciectomy in Dupuytren's disease: microsurgery in the evolution toward safer and more efficient fasciectomy and hand surgery

Ilse Degreef; Kira Vande Voorde; Maarten Van Nuffel

doi:10.1530/EOR-23-0033

Microfasciectomy in Dupuytren's disease: microsurgery in the evolution toward safer and more efficient fasciectomy and hand surgery

EFORT Open Rev. 2023 May 9;8(5):291-297. doi: 10.1530/EOR-23-0033.

Authors

Ilse Degreef¹, Kira Vande Voorde¹, Maarten Van Nuffel¹

Affiliation

¹ Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium.

Abstract

In the long term, limited fasciectomy is currently the most reliable treatment for Dupuytren's contracture. The risk for complications is significant, certainly in recurrent disease and in the presence of abundant scar tissue. Meticulous surgical technique is mandatory. Microsurgery increases magnification from four times (with surgical loupes) up to 40 times. Using the microscope in Dupuytren's surgery, a technique named microfasciectomy is likely to increase both safety and efficiency by preventing instead of treating surgical complications. Increased experience with microsurgery will benefit Dupuytren's treatment and hand surgery in general.

Keywords: Dupuytren; fasciectomy; hand; microfasciectomy; microsurgery.

Publication types

Review