Abstract
We intended to improve the surgical outcome in Dupuytren’s disease by augmenting the “firebreak” effect of segmental fasciectomy with a cellulose implant, which is a known absorbable adhesion barrier. In a randomized prospective study including 29 patients with recurrence risk, goniometric evolution was monitored and satisfaction was measured with a 2-year follow-up. The postoperative range of motion and satisfaction following segmental fasciectomy improved significantly with the implant compared to control. We concluded that cellulose implants improve the surgical outcome of segmental fasciectomy in Dupuytren’s disease. We now use the implants on a regular basis, not only to improve the surgical outcome of segmental fasciectomy, but also to release skin retractions, which add to the finger contracture.
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Degreef, I., De Smet, L. (2012). Cellulose Implants in Dupuytren’s Surgery. In: Eaton, C., Seegenschmiedt, M., Bayat, A., Gabbiani, G., Werker, P., Wach, W. (eds) Dupuytren’s Disease and Related Hyperproliferative Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22697-7_25
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DOI: https://doi.org/10.1007/978-3-642-22697-7_25
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