Dupuytren’s contracture : ‘the Z-factor'

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Authors

Mennen, Ulrich

Journal Title

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Volume Title

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South African Orthopaedic Association

Abstract

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.

Description

This article was written by Ulrich Mennen before he joined the University of Pretoria.

Keywords

Surgical fasciectomy, Operated hands, Recurrence rate, Z-Plasties, Dupuytren’s contracture (DC), Palmar fasciitis

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Citation

Mennen, U 2010, 'Dupuytren’s contracture : ‘the Z-factor'', SA Orthopaedic Journal, vol. 9, no. 2, pp. 79-82.