SHORT REVIEWA Review of Common Practice in Dupuytren SurgeryAu-Yong, Iain T. H BM, BCh (Oxon), MA (Cantab), MRCS (Ed)1; Wildin, Clare J FRCS Orth and Tr2; Dias, Joseph J MBBS, MD, FRCS (Ed), FRCS (Eng)2; Page, Robert E MBChB (Hons), FRCS, ChM3Author Information 1Department of Radiology, Queens' Medical Centre and Nottingham City Hospital, Tollerton, Nottingham, UK, 2Orthopaedics and Hand Surgery, Glenfield Hospital, Leicester LE5 4QF, UK, 3Department of Reconstructive Plastic and Burns Surgery, Northern General Hospital, Sheffield S5 7AU, UK Address correspondence and reprint requests to Iain T. H. Au-Yong, Specialist Registrar in Radiology, Queens' Medical Centre and Nottingham City Hospital, 44 Bentinck Avenue, Tollerton, Nottingham NG12 4ED, UK. E-mail: [email protected]. Techniques in Hand and Upper Extremity Surgery: December 2005 - Volume 9 - Issue 4 - p 178-187 doi: 10.1097/01.bth.0000186794.90431.a4 Buy Metrics Abstract Aspects of decision making, postoperative management, and complications routinely discussed with patients were investigated using a questionnaire completed by 141 hand surgeons of various grades who regularly manage Dupuytren disease. This account presents the results of this questionnaire study, and the literature is discussed in context. A brief description of operative technique in fasciectomy and dermofasciectomy is included. Thresholds for surgery did not differ greatly among the surgeons who completed the questionnaire. The training background and the number of operations performed by surgeons also did not generally influence surgical decision making. Postoperative care regimens were very similar. However, there was great variation in the complications routinely included in discussions with patients undergoing surgery for Dupuytren contracture. Recurrence and nerve damage were the only 2 mentioned by almost all surgeons. There was also diversity in what rates were quoted for complications, particularly recurrence (median 33%, range 0%-100%) and stiffness (median 10%, range 0%-100%). © 2005 Lippincott Williams & Wilkins, Inc.