title: [Primary intervention in Dupuytren's disease].
abstract: Partial aponeurectomy as the state-of-the-art treatment in Dupuytren's disease is indicated when minimally invasive forms of treatment, such as needle aponeurotomy or percutaneous collagenase injection, are not possible due to the advanced stage of the disease or the morphology of the contracture. Even in earlier stages of Dupuytren disease partial aponeurectomy has advantages in comparison to minimally invasive forms of treatment. These advantages are lower recurrence rates as well as less persistent residual contractures, especially in the proximal interphalangeal joint.
authors.affiliation: Abteilung für Plastische-, Hand- und Rekonstruktive Chirurgie, BG-Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland. ulli.vesper@bgu-frankfurt.de.
authors.forename: U S
authors.initials: US
authors.lastname: Vesper
authors.affiliation: Abteilung für Plastische-, Hand- und Rekonstruktive Chirurgie, BG-Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland.
authors.forename: I M
authors.initials: IM
authors.lastname: Mehling
authors.affiliation: Abteilung für Plastische-, Hand- und Rekonstruktive Chirurgie, BG-Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Arsalan-Werner
authors.affiliation: Abteilung für Plastische-, Hand- und Rekonstruktive Chirurgie, BG-Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Sauerbier
mesh_terms: D003131:Combined Modality Therapy / Q000379:methods; D004387:Dupuytren Contracture / Q000473:pathology / Q000628:therapy*; D019317:Evidence-Based Medicine; D005205:Fascia / Q000473:pathology*; D000071938:Fasciotomy / Q000379:methods*; D006225:Hand / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007279:Injections, Subcutaneous; D003012:Microbial Collagenase / Q000008:administration & dosage*; D016896:Treatment Outcome
chemical_list: D003012:Microbial Collagenase
keywords: Fascia; Fibromatosis, palmar; Finger; Hand; Orthopedic surgical procedures