This protocol applies to Dupuytren's contracture in which the skin overlying the affected strand cannot be spared, or where the condition has recurred persistently — presentations that call for a more definitive surgical approach to the affected finger.
The structured protocol for this scenario centres on a surgical procedure involving the affected finger, with reconstruction of the overlying skin. The full indications, procedural steps, and clinical decision algorithm are available in the complete protocol.
Apply dermofasciectomy preferably when the skin above the strand cannot be saved, and in cases of persistent recurrence.
DOI: 10.1016/j.jhsg.2022.11.008
View source ↗