Author/Authors :
Karabeg, Reuf Clinical Center University of Sarajevo - Clinic for Plastic and Reconstructive Surgery, Bosnia and Herzegovina , Jakirlic, Malik Clinical Center University of Sarajevo - Clinic For Plastic and Reconstructive Surgery, Bosnia and Herzegovina , Arslanagic, Selma Clinical Center University of Sarajevo - Clinical Center for Plastic and Reconstructive Surgery Clinic, Bosnia and Herzegovina , Dujso, Vanis Clinical Center University of Sarajevo - Clinic For Plastic and Reconstructive Surgery, Bosnia and Herzegovina , Obradovic, Goran Clinical Center University of Sarajevo - Clinic For Plastic and Reconstructive Surgery, Bosnia and Herzegovina , Zeco, Adnan Clinical Center University of Sarajevo - Clinic for Plastic and Reconstructive Surgery, Bosnia and Herzegovina
Abstract :
Introduction: Dupuytren’s disease (DD) is a progressive fibroproliferative disorderof the hand causing digital flexion contracture. Treatment goals include removingor releasing the fibrotic cord to allow extension of the affected finger(s) andrestoration of hand function. Material and Methods: In study period from 2001through 2008, evaluation was performed in 115 patients. Limited or extensive fasciectomywas performed in all patients. Tubiana classification sheme to rate severityof DD was used. Results: There were 106 male patients ( mean age 62.6 years) and9 female patients (mean age 66.3 years). Before the operation, 38% of all patientswere at Tubiana stage I, 32% were at stage II , 22 % were at stage III and 8% were atstage IV. Of all patients, 43% were diagnosed with Dupuytren’s in only one finger,39% in two fingers and 18% in three fingers. In 23% of patients DD were diagnosedon both hands. Limited fasciectomy was peformed in 90,4% of patients and extensivefasciectomy in 9,6% of patients. The Tubiana stage achived after surgery waslower in 98% of patients. As a final result after surgery, 66% of patients didn’t havecontracture, stage I was reported in 28% and stage II in 3% of patients. There wereno patients with Tubiana stage III or more after surgery. Postoperative complicationswere noted in 18% of patients. Wound healing problems were present 12% of patients.Haematoma was reported 5% of patients. Of all patients 22% had diabetes mellitus.Conclusion: DD is much more common in male than in female patients. Most ofthe patients are diagnosed at Tubiana stage I and II. Surgical correction has led to animprovement in most patients. Limited fasciectomy is still the gold-standard in DDtreatment. Extensive fasciectomy or dermofasciectomy is preformed only in mostsevere cases.
