Dupuytren Disease Surgical Treatment: A Randomized Clinical Trial Comparing Partial Fasciectomy by Bruner Approach Versus Zetaplasty.

研究概要

Sixty-two adult patients with Dupuytren disease were randomized to receive partial fasciectomy using either the Bruner incision (n=23) or the zetaplasty incision (n=25). The primary outcome of interest was functional improvement measured by the DASH score. Secondary outcomes included correction of metacarpophalangeal (MP) and proximal interphalangeal (PIP) joint extension, pain levels using the visual analog scale (VAS), and complications such as nerve damage and wound healing issues. Outcomes were assessed over a minimum follow-up of six months, with some patients followed beyond 34 months. Overall, both surgical techniques resulted in comparable improvements in joint extension and DASH scores, with no statistically significant differences between the two groups (p > .05). The study suggests that neither incision technique offers superior functional outcomes for Dupuytren disease.