Dermofasciectomy in the management of Dupuytren's disease

Dupuytren's disease may present with well-defined subcutaneous cords or as more diffuse disease with involvement of the skin. Fasciectomy is the proce dure commonly carried out for the full range of disease, but is associated with rates of recurrence of up to 66%, We reviewed 143 rays in 103 patients undergoing dermofasciectomy for diffuse disease with involvement of the sk in, We found recurrence in 12 rays (8.4% of rays; 11.6% of patients) during a mean follow-up of 5.8 years, eight as cords and four as nodules, We sugg est that dermofasciectomy is a better method of disease control than fascie ctomy for the more diffuse type of disease with involvement of the skin.