Advanced Dupuytren Contracture: Approach to Management

Hand Clin. 2023 Aug;39(3):455-463. doi: 10.1016/j.hcl.2023.03.006. Epub 2023 May 11.

Abstract

Dupuytren disease is a common pathologic condition that can be especially challenging to hand surgeons in recurrent or severe contractures. Recurrence risk may be reduced with a variety of techniques, including skin grafting, external fixator application, radiation, and many others described in this article. Management of recurrence requires special attention to anatomy at risk. Adjuvant therapy may help to prevent the progression or recurrence of severe disease.

Keywords: Complications; Contracture; Dupuytren disease; Recurrence.

Publication types

  • Review

MeSH terms

  • Dupuytren Contracture* / pathology
  • Dupuytren Contracture* / surgery
  • Humans
  • Skin / pathology
  • Skin Transplantation
  • Treatment Outcome