Balaguer T, David S, Ihrai T, Cardot N, Daideri G, Lebreton E
Histological staging and Dupuytren's disease recurrence or extension after surgical treatment: a retrospective study of 124 patients. [Journal Article]
J Hand Surg Eur Vol 2009 Aug; 34(4):493-6.
Dupuytren's disease has a high rate of recurrence after treatment. In this study we have assessed the usefulness of histological staging in the prediction of recurrence. We have also verified whether there is a correlation between histological staging and features of Dupuytren's diathesis. We studied 139 hands in 124 Caucasian patients treated between 1997 and 2004. There was a significant difference in the recurrence rate between the three histological types (P = 0.04). Histological staging was independent of features of Dupuytren's diathesis. This study confirms that histological staging is a reliable method for predicting recurrence. However, it should be used in association with clinical data to determine precisely the prognosis of patients suffering from Dupuytren's contracture.
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