Surgical treatment of Dupuytren's disease by aponeurectomy (15 cases)

Document Type : Original Article

Authors

Department of Orthopaedic Surgery, CHU Mohammed VI, Oujda, Morocco

Abstract

Background: Dupuytren's disease is characterized by fibrosis of the superficial palmar aponeurosis, which can lead to a deformation of the fingers in flexion. The main objectives of the treatment of Dupuytren's disease are to reduce flexion and the associated disability.
Objectives: The objective of this study was to investigate the epidemiological and clinical profile of Dupuytren's disease and to analyze the results of treatment by aponeurectomy in comparison with the data in the literature.
Methods: We provided a 5-year retrospective study of fifteen cases of Dupuytren's disease treated by aponeurectomy at the Mohammed VI University Hospital in Oujda, Morocco, from February 2017 to March 2022.
Results: The mean age of the patients was 52.6 years, and 30% were women. For the risk factors, we found that 56% of the patients had a manual occupation, 30% were diabetic, 17% had a local trauma, 15% were known alcohol consumers, 25% were smokers, and 20% of the patients presented a similar case in the family. In terms of the clinical presentation, bilateral forms were found in 60% of cases, with a predominance of the 4th ray in both hands. Finally, 67% of our patients were diagnosed in the early stages of the disease (stages 1, 2, or 3 according to the Tubiana classification). Surgical treatment was proposed for 100% of the patients who underwent aponeurectomy, with very satisfactory results. Overall, our study allowed us to make findings that are similar to those described in the literature.
Conclusion: The genesis of Dupuytren's disease is not yet fully understood, despite numerous studies on collagen and fibroblasts. Surgery is the most common treatment. The appearance of collagenases, which proves to be very interesting for the treatment of palmar forms, still needs to be validated in the medium and long term for its efficacy and safety.

Keywords

References

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History

  • Receive Date: 20 April 2022
  • Revise Date: 26 April 2022
  • Accept Date: 30 April 2022

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