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70-year-old sedentary male with small finger involvement isolated to the MCP joint
2%
65/3671
50-year-old male systems analyst with ring and small finger involvement limited to the MCP joints
1%
55/3671
65-year-old female golfer with ring and small finger involvement including MCP and PIP joints
3%
92/3671
40-year-old female stenographer with middle, ring, and small finger involvement including MCP and PIP joints with 50 and 55 degree contractures of ring and small finger MCP joints, respectively
41%
1516/3671
None of the above as no difference in outcome has been demonstrated between the two procedures
52%
1909/3671
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Dermatofasciectomy and full-thickness grafting has not demonstrated superior finger range of motion, recurrence rate, or patient satisfaction in comparison with traditional fasciectomy. The main reference from Ullah et al conducted a prospective randomized study of 84 Dupuytren's cases treated with fasciectomy alone or dermatofasciectomy with full-thickness skin grafting. The question was whether the overlying skin needed to be excised. No difference in clinical outcome or recurrence rate was discovered. Roy et al reviewed 79 cases of advanced Dupuytren's treated with radical fasciectomy (but preservation of the overlying skin) and then adding full-thickness skin grafting to the open areas once the fingers were extended. They found their results of fasciectomy to be similar to those published for dermofasciectomy.
2.9
(35)
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