Recurrences after surgery for Dupuytren's disease

Recurrences after surgery for Dupuytren's disease Life table analysis was used to evaluate the recurrence rate after segmental aponeurectomy for Dupuytren's disease. From this analysis, factors that play a role in the progress of the disease after surgery have been defined. A mathematical model has also been created which could serve as a baseline to compare the results after segmental aponeurectomy with those of other techniques. The introduction of corrective factors allowing for the different follow-up periods gives, by projection, a proportion of 68% of recurrence after ten years. This high percentage of recurrences to which a number of extensions should be added confirms that surgery is not curative in Dupuytren's disease; after ten years, almost no hand would be left clear of the disease. Patients operated on before the age of 45 or having ectopic sites of the disease run a higher risk of recurrence. No other factors, local or general, play a statistically significant prognostic role. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Recurrences after surgery for Dupuytren's disease

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Publisher
Springer-Verlag
Copyright
Copyright © 1997 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/BF01159481
Publisher site
See Article on Publisher Site

Abstract

Life table analysis was used to evaluate the recurrence rate after segmental aponeurectomy for Dupuytren's disease. From this analysis, factors that play a role in the progress of the disease after surgery have been defined. A mathematical model has also been created which could serve as a baseline to compare the results after segmental aponeurectomy with those of other techniques. The introduction of corrective factors allowing for the different follow-up periods gives, by projection, a proportion of 68% of recurrence after ten years. This high percentage of recurrences to which a number of extensions should be added confirms that surgery is not curative in Dupuytren's disease; after ten years, almost no hand would be left clear of the disease. Patients operated on before the age of 45 or having ectopic sites of the disease run a higher risk of recurrence. No other factors, local or general, play a statistically significant prognostic role.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Sep 1, 1997

References

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