Current trends in the surgical management of Dupuytren's disease in Europe: An analysis of patient charts

Research output: Contribution to journalArticle

Abstract

Introduction: Dupuytren's disease (DD) causes progressive digital flexion contracture and is more common in men of European descent. Methods: Orthopaedic and plastic surgeons in 12 European countries (the Czech Republic, Denmark, Finland, France, Germany, Hungary, Italy, The Netherlands, Poland, Spain, Sweden and the UK) with >3 and <30 years experience reviewed the medical charts of five consecutive patients they had treated surgically for DD in 2008. Descriptive statistics are reported. Results: In total, 3,357 patient charts were reviewed. Mean (standard deviation) patient age was 61.9 (10.2) years; 81% were men. At the time of the procedure, 11% of patients were at Tubiana stage Ia (0-20° total flexion); 30%, stage Ib (21-45°); 34%, stage II (46-90°); 17%, stage III (91-135°); and 5%, stage IV (&135°). Percutaneous needle fasciotomy was performed in 10%, fasciotomy in 13%, fasciectomy in 69% and dermofasciectomy (DF) in 6% of patients. After surgery, fingers improved a mean of 1.9 Tubiana stages, and 54% of patients had no nodules or contracture. The rate of reported complications during the procedure was 4% overall (11% in patients undergoing DF). The most common postoperative complications reported were haematoma (8%), wound healing complications (6%) and pain (6%). No postoperative complications were reported in 77% of patients. Conclusions: In this European study of more than 3,000 patients with DD, most patients were diagnosed at Tubiana stage I or II, the majority received fasciectomy and more than half had no nodules or contracture remaining after surgery.

Details

Authors
  • Christopher Bainbridge
  • Lars B. Dahlin
  • Piotr P. Szczypa
  • Joseph C. Cappelleri
  • Daniel Guérin
  • Robert A. Gerber
Organisations
External organisations
  • Royal Derby Hospital
  • Pfizer Limited, UK
  • Pfizer Inc.
  • A A Healthcare Research
  • Skåne University Hospital
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Surgery

Keywords

  • Cord contracture, Dermofasciectomy, Dupuytren's disease, Fasciectomy, Fasciotomy, Percutaneous needle fasciotomy
Original languageEnglish
Pages (from-to)31-41
Number of pages11
JournalEuropean Orthopaedics and Traumatology
Volume3
Issue number1
Publication statusPublished - 2012 Dec 1
Publication categoryResearch
Peer-reviewedYes