Update on Dupuytren Disease: Pathogenesis, Natural History, Treatment, and Outcomes | Journal CME Article-Video 4

Video Transcription

Video Summary

The video discusses various surgical approaches for treating Dupuytren's contracture, particularly challenging recurrent cases. Regional fasciectomy and Z-plasties can yield good results, but severe cases may require additional interventions, such as flap or skin grafts, PIP fusion, or even amputation for unrecoverable contractures. One patient had a soft tissue wound covered with a heterodigital island flap after recurrent contracture surgery. For another, a cross-finger flap was utilized, and PIP joint fusion avoided amputation. Radiation therapy, though controversial, was used successfully as a postoperative adjunct. A case of severe primary Dupuytren's involved multiple treatment stages and modalities for effective correction.

Keywords

Dupuytren's contracture

surgical approaches

flap grafts

PIP fusion

radiation therapy