Treatment of Recurrent Dupuytren Disease.

Abstract:

:Treatment of recurrent Dupuytren disease is challenging. Multiple options exist, each having relative benefits and weaknesses. Choice for optimal treatment is made on a case-by-case basis, with shared decision making with the patient. Percutaneous and enzymatic techniques are best reserved for patients with well-defined recurrent disease and offer the benefit of quicker recovery with minimal or no scarring. Surgical treatments have higher risks of neurovascular injury and scarring, but lower recurrence rates. Staged continuous passive elongation followed by dermofasciectomy may lower neurovascular injury and improve outcomes. Salvage procedures may be necessary in patients with poor tissue beds and neurovascular compromise.

journal_name

Hand Clin

journal_title

Hand clinics

authors

Kaplan FTD,Crosby NE

doi

10.1016/j.hcl.2018.03.009

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

403-415

issue

3

eissn

0749-0712

issn

1558-1969

pii

S0749-0712(18)30037-4

journal_volume

34

pub_type

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