Reoperative Dupuytren Contracture

  • James H. CalandruccioEmail author
  • Scott E. Hecox


Dupuytren disease (DD) is a challenging clinical problem even with primary surgical cases. However, in the face of recurrence, the surgeon is frequently left with a more challenging and complex problem. Soft tissues may be more adherent because of scar formation, and the anatomy may be distorted making identification of structures such as the nerves and vessels more problematic. Furthermore, the flexor pulley system can be damaged while trying to remove some of these recurrent cords and adherent scar risking potential bow-stringing of the flexor tendons. This chapter outlines some of the options for reoperation on recurrent DD. This type of surgery takes not only skill, but extreme patience on the part of the surgeon as the dissection can be quite tedious. Fortunately, patients are usually grateful for the improvement in function that is obtained.


Dupuytren disease Recurrence Reoperation Cord 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryUniversity of Tennessee—Campbell ClinicGermantownUSA

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