Histological staging and Dupuytren's disease recurrence or extension after surgical treatment: a retrospective study of 124 patients.
Dupuytren's disease has a high rate of recurrence after treatment. In this study we have assessed the usefulness of histological staging in the prediction of recurrence. We have also verified whether there is a correlation between histological staging and features of Dupuytren's diathesis. We studied 139 hands in 124 Caucasian patients treated between 1997 and 2004. There was a significant difference in the recurrence rate between the three histological types (P = 0.04). Histological staging was independent of features of Dupuytren's diathesis. This study confirms that histological staging is a reliable method for predicting recurrence. However, it should be used in association with clinical data to determine precisely the prognosis of patients suffering from Dupuytren's contracture.
Balaguer
T
T
Nice Sophia Antipolis University, Nice, France.
David
S
S
Ihrai
T
T
Cardot
N
N
Daideri
G
G
Lebreton
E
E
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003094:Collagen / Q000378:metabolism; D003238:Connective Tissue / Q000473:pathology / Q000601:surgery; D004198:Disease Susceptibility / Q000473:pathology; D004387:Dupuytren Contracture / Q000145:classification / Q000473:pathology* / Q000601:surgery*; D005205:Fascia / Q000473:pathology; D000071938:Fasciotomy; D005260:Female; D005355:Fibrosis; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008938:Mitosis / Q000502:physiology; D011183:Postoperative Complications / Q000145:classification / Q000473:pathology* / Q000601:surgery*; D011379:Prognosis; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors
D003094:Collagen