Abstract
A New Therapeutic Approach to Dupuytren’s Contracture / Disease (DD)
Highlights
The cause and the mechanism that triggers Dupuytren’s Contracture / Disease (DD) have not yet been elucidated
The purpose of this article is to present “a chain of medical and surgical approaches” to DD which is based on my 12 year research on DD patients before surgery and every month for 6 months after surgery
Differential and associated-illnesses diagnosis is obtained, the inclusion into “the stage of the DD” refers to two key situations: A) In order to admit a patient for DD surgery, he must be in the right “moment of surgery” which is equivalent with the stationary/plateau/ evolution pause of DD as a whole, irrespective of the affected segment
Summary
The cause and the mechanism that triggers DD have not yet been elucidated. After more than 180 years since Dupuytren described the disease, despite all valuable research studies worldwide, its cause and physiopathology have not been determined. My vast experience in hand surgery and reconstructive microsurgery allowed me “to establish the stage of the DD” which is a consequence of “the sequence of the seriousness of DD”; “to establish the moment of surgery”; “to complete the standard aponevrectomy in relation to the stage of the DD”, so that “the decision” and “the surgical indication” should be best suited to each individual patient. In this way an efficient surgical treatment is obtained, which has “a result that can be controlled and which is most often, definitive”
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