Despite various therapeutic approaches, partial fasciectomy remains the main method of surgical treatment for Dupuytren's disease in many hand surgery units worldwide, especially in cases of recurrence after aponeurotomy or enzymatic fasciotomy.
It is a demanding procedure and requires precise knowledge of the anatomy of the hand. The contracture tissue to be removed extends deep into the structures of the hand and often encompasses the vascular/nerve bundles over a long distance. To avoid recurrence, complete removal is necessary without damaging important structures.
In the case treated here, it is a contracture in stage II according to Iselin or Tubiana with a main cord at the 5th ray and flexion contracture of the MCP joint of 40° as well as a secondary cord to the proximal phalangeal flexion crease of the ring finger without contracture.