Dupuytren’s contracture (DC) or palmar fasciitis is notorious for its high recurrence rate after surgical fasciectomy.
In a personal series of 426 operated hands over a 15-year period with a follow-up period of 2 to 17 years, the
recurrence rate was only 3.7% (in the literature: 26–63%).
The demographics, surgical technique and results are discussed. It is suggested that the possible reason for the
low recurrence rate lies in multiple Z-plasties.
This article was written by Ulrich Mennen before he joined the University of Pretoria.