Prospective 5-year study of 63 patients following fasciectomy for Dupuytren PIP joint contracture, asking whether recontracture follows predictable patterns and whether early postoperative findings can identify patients destined for progressive worsening.
When following a post-fasciectomy Dupuytren patient, measure PIP contracture at both 3 and 6 months: worsening greater than 6° in that window should flag the patient for closer surveillance and counseling about progressive disease recurrence, as this threshold identifies 93% of those who will continue to worsen over 5 years.
Prospective 5-year study of 63 patients following fasciectomy for Dupuytren PIP joint contracture, asking whether recontracture follows predictable patterns and whether early postoperative findings can identify patients destined for progressive worsening.
When following a post-fasciectomy Dupuytren patient, measure PIP contracture at both 3 and 6 months: worsening greater than 6° in that window should flag the patient for closer surveillance and counseling about progressive disease recurrence, as this threshold identifies 93% of those who will continue to worsen over 5 years.