Dupuytren's disease: a predominant reason for elective finger amputation in adults.
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| Abstract |
Dupuytren's disease (DD) can lead to severe disabling finger contractures resistant to surgical treatment. In some cases, finger or ray amputation is considered, due to a severe functional deficit or vascular injury. To evaluate the weight of amputation surgery in DD, a retrospective study was conducted over a 5-year time interval, outlining all indications for elective finger amputation and its prevalence in the total of surgical interventions for DD. The outcome in DD was compared to post-traumatic amputations. Out of 31 elective finger and ray amputations, 12 (39%) were indicated for DD, all in the 4th or 5th ray, of which 92% were in recurrent disease. In the 646 surgical procedures for DD in the matching time interval, we conclude that almost 2% were elective amputations. The outcome of amputation in DD was similar to post-traumatic amputations. Based on these data, we feel that patients should be informed that sometimes, surgical treatment for Dupuytren's disease can lead to an eventual decision to amputate.
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| Authors | I Degreef, L De Smet |
| Journal | Acta chirurgica Belgica (Acta Chir Belg) 2009 Jul-Aug Vol. 109 Issue 4 Pg. 494-7 ISSN: 0001-5458 [Print] England |
| PMID | 19803262 (Publication Type: Journal Article) |
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