Healing after Bruner and McCash incisions for limited fasciectomy in patients with Dupuytren's disease: a randomized clinical trial.

研究概要

Seventy-two patients with Dupuytren’s disease were randomized to Bruner (n=38) or McCash (n=34) limited fasciectomy. The primary outcome was scar/healing quality at 6 months using VAS, VSS, and POSAS (patient and observer). Secondary outcomes included wound complications (dehiscence, hematoma, infection, skin necrosis, pain) and time to healing. Outcomes were assessed through standardized clinic follow-up to 6 months. Overall, the results showed consistently worse scar scores for Bruner—VAS higher, VSS domains worse, and POSAS patient and observer domains/overall worse—and more complications (Bruner: dehiscence 5, hematoma 6, infection 1, skin necrosis 12; McCash: pain only in 6). These findings suggest McCash incisions lead to better scar quality and fewer postoperative problems after limited fasciectomy, albeit with a longer epithelialization period.