[Treatment of Dupuytren's contracture; an overview of options].
In this article we systematically review treatment options for Dupuytren's contracture. There is little evidence on the effectiveness of many treatment modalities for Dupuytren's disease other than expert's opinions (level 4). Most hand surgeons perform selective fasciectomy for Dupuytren's disease. Because of its lower recurrence rate, dermofasciectomy is increasingly being performed to treat recurrences. Percutaneous needle fasciotomy is a minimally invasive treatment with good short-term results in patients with mild to moderate contractures, but it has a high recurrence rate. Radiotherapy and the use of collagenase are promising, but their role in treating Dupuytren's disease is still unclear.
Isala klinieken, afd. Plastische Chirurgie, Zwolle, The Netherlands.
Annet L
AL
van Rijssen
Paul M N
PM
Werker
D004387:Dupuytren Contracture / Q000175:diagnosis / Q000532:radiotherapy / Q000601:surgery*; D005384:Finger Joint / Q000601:surgery*; D006225:Hand / Q000601:surgery; D006801:Humans; D011379:Prognosis; D016059:Range of Motion, Articular; D012008:Recurrence; D016896:Treatment Outcome