Retrospective comparison of fasciectomy alone versus dermofasciectomy (fasciectomy + full-thickness skin grafting) in 100 patients with Dupuytren's contracture, examining recurrence rates, extension of disease, hand function, sensibility, and return to activity over an average 38-month follow-up.
When operating on a young patient with strong Dupuytren's diathesis (rapid progression, ectopic deposits, positive family history, comorbid epilepsy or diabetes) or recurrent disease with dense skin involvement, consider dermofasciectomy with full-thickness grafting — this series shows it abolishes sub-graft recurrence without sacrificing functional hand outcomes, despite predictable reduction in graft sensibility.
Retrospective comparison of fasciectomy alone versus dermofasciectomy (fasciectomy + full-thickness skin grafting) in 100 patients with Dupuytren's contracture, examining recurrence rates, extension of disease, hand function, sensibility, and return to activity over an average 38-month follow-up.
When operating on a young patient with strong Dupuytren's diathesis (rapid progression, ectopic deposits, positive family history, comorbid epilepsy or diabetes) or recurrent disease with dense skin involvement, consider dermofasciectomy with full-thickness grafting — this series shows it abolishes sub-graft recurrence without sacrificing functional hand outcomes, despite predictable reduction in graft sensibility.