Treatment of Dupuytren's Contracture When Partial Fasciectomy Cannot Generate Improvement

Severe recurrent Dupuytren's contracture poses a difficult management challenge, particularly once repeated partial fasciectomy has reached the limits of what it can achieve, or when the affected finger is complicated by vascular insufficiency or damaged sensation.

Clinical scenario

This protocol applies when partial fasciectomy can no longer generate meaningful correction of the contracture, and in cases where the involved finger presents with vascular insufficiency or compromised sensation — circumstances in which standard fascial release is no longer a viable option.

Treatment approach

In this setting, the evidence-based approach involves salvage surgical intervention directed at the affected finger. The specific technique indicated, and the criteria that determine its selection, are set out in the complete structured protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.jhsg.2022.11.008

Consider salvage techniques in severe recurrent contracture when partial fasciectomy cannot generate improvement and in cases with vascular insufficiency or damaged sensation.

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