Dupuytren's Contracture: A 10-Year Retrospective Study

Öz

Dupuytren’s contracture is a progressive, benign fibroproliferative disease characterized by abnormal collagen accumulation in the palmar region of the hand and flexor surfaces of the fingers. This study retrospectively reviewed 257 patients who underwent surgery at our clinic between January 2014 and December 2024 using electronic hospital records. The analysis focused on age, sex, number of operated hands, affected fingers, annual surgical distribution, skin closure techniques, and comorbidities. Among the 257 patients, 24 underwent bilateral surgery, and five required reoperation due to recurrence, resulting in a total of 286 operated hands. The study cohort consisted of 196 male and 61 female patients. Bilateral surgery was performed in 21 male and three female patients, while five male patients required a second operation due to recurrence. The mean age of the patients was 60 years (range: 34-83). In 73.4% of cases, both the hand and fingers were affected, while 25.8% had isolated palmar involvement. The fourth finger was the most frequently affected (78.5%), followed by the fifth finger (57.6%). Z-plasty was used for skin closure in 222 out of 286 operated hands. This study aims to explore the risk factors associated with Dupuytren’s contracture and contribute to the understanding of its prevalence in our region, enhancing regional data.

Anahtar Kelimeler

• Dupuytren's Contracture
• Palmar Fibromatosis
• Open partial fasciectomy
• Finger involvement

Dupuytren Kontraktürü: 10 Yıllık Retrospektif Çalışma

Öz

Dupuytren kontraktürü, ilerleyici benign fibroproliferatif bir hastalık olup elin palmar bölgesi ile parmakların fleksör yüzlerinde anormal kolajen birikimi ile karakterizedir. Bu çalışmada Ocak 2014 – Aralık 2024 yılları arasında kliniğimizde opere edilmiş 257 hasta, hastanemiz elektronik arşivi kullanılarak retrospektif olarak incelendi. Yaş, cinsiyet, opere edilen el sayısı, hangi el ve parmakların tutulduğu, yıllara göre opere edilen hasta sayısı, cilt kapatma teknikleri ve eşlik eden morbiditeler açısından tarama yapıldı. 257 hastanın 24’ü bilateral ellerinden opere olurken 5 hasta da nüks nedeniyle ikinci kez opere edildi. Toplam 286 ele Dupuytren cerrahisi uygulanmış oldu. Opere edilen hastaların 196‘sı erkek, 61’i kadındı. Erkek hastaların 21’ine bilateral cerrahi uygulanırken 5’ine nüks nedeniyle ikinci kez cerrahi uygulandı. Kadın hastaların 3’üne bilateral cerrahi uygulandı, kadın hastalarda hiç nüks görülmedi. Hastaların ortalama yaşı 60 olarak bulundu (34-83). Opere edilen ellerin %73,4’ünde el+parmak tutulumu birlikte görülürken, %25,8’inde yalnızca el (palmar bölge) tutulumu mevcuttu. El+parmak tutulumu olan hastalarda ise %78,5 oranında tek başına veya diğer parmaklara eşlik edecek şekilde 4.parmağın tutulmuş olduğu görüldü. Bunu %57,6 ile 5.parmak tutulumu takip etti. Opere edilen 286 elin 222’sine ise cilt kapamada z-plasti uygulandı. Bu çalışmada son 11 yılda kliniğimizde Dupuytren kontraktürü nedeniyle opere edilen hastalar risk faktörleri ile birlikte araştırılmış, hastalığın bölgemizdeki görülme prevalansına katkı yapmak amaçlanmıştır.

Anahtar Kelimeler

• Dupuytren Kontraktürü
• Palmar Fibromatozis
• Açık parsiyel fasyektomi
• Parmak tutulumu

Kaynakça

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