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

Bainbridge, Christopher ; Dahlin, Lars B. LU ; Szczypa, Piotr P. ; Cappelleri, Joseph C. ; Guérin, Daniel and Gerber, Robert A. (2012) In European Orthopaedics and Traumatology 3(1). p.31-41
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... (More)

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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cord contracture, Dermofasciectomy, Dupuytren's disease, Fasciectomy, Fasciotomy, Percutaneous needle fasciotomy
in
European Orthopaedics and Traumatology
volume
3
issue
1
pages
11 pages
publisher
Springer
external identifiers
  • scopus:84873172978
ISSN
1867-4569
DOI
10.1007/s12570-012-0092-z
language
English
LU publication?
yes
id
2c46626a-e1ee-442c-be81-9b16697674e3
date added to LUP
2019-06-17 14:20:24
date last changed
2019-12-01 05:54:31
@article{2c46626a-e1ee-442c-be81-9b16697674e3,
  abstract     = {<p>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 &gt;3 and &lt;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 (&amp;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.</p>},
  author       = {Bainbridge, Christopher and Dahlin, Lars B. and Szczypa, Piotr P. and Cappelleri, Joseph C. and Guérin, Daniel and Gerber, Robert A.},
  issn         = {1867-4569},
  language     = {eng},
  month        = {12},
  number       = {1},
  pages        = {31--41},
  publisher    = {Springer},
  series       = {European Orthopaedics and Traumatology},
  title        = {Current trends in the surgical management of Dupuytren's disease in Europe : An analysis of patient charts},
  url          = {http://dx.doi.org/10.1007/s12570-012-0092-z},
  doi          = {10.1007/s12570-012-0092-z},
  volume       = {3},
  year         = {2012},
}