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Dupuytren’s contractures are a very common pathology with a complex underlying pathophysiology that is associated with controversy regarding the proper treatment algorithm.
Michael B. Gottschalk, MD, Department of Orthopedics, Emory University, Atlanta, GA, USANina Suh, MD, Department of Orthopedics, Emory University, Atlanta, GA, USAEric R. Wagner, MD, Department of Orthopedics, Emory University, Atlanta, GA, USA
Dupuytren’s Contracture History and Considerations.- Pathophysiology and Genetic Considerations.- Needle Aponeurotomy: Background and Technique.- Needle Aponeurotomy: Evidence-Based Outcomes.- Collagenase Injections: Background and Technique.- Collagenase Injections: Evidence-Based Outcomes.- Open Fasciectomy: Background and Technique.- Open Fasciectomy: Evidence-Based Outcomes.- Continuous Extension Torque: Background, Technique, and Evidence-Based Outcomes.- Considerations in Revision Intervention.- When to Amputate.- Radiation Therapy in Dupuytren's Disease: Does It Work?- The Role of Steroids in Dupuytren's Disease Management.- Designing Flaps and Skin Incisions.- Skin Grafting: How and When to Do It.- Use of WALANT for Dupuytren's Contracture.- Cost Assessments and Considerations.