Surgical Management of Dupuytren’s Disease: A Case Series of 27 Patients

Abstract: This retrospective study aims to evaluate the clinical outcomes and postoperative complications associated with the surgical management of Dupuytren’s disease, through the analysis of 34 procedures performed in 27 patients at CHU Ibn Sina in Rabat between May 2021 and May 2024. Two surgical techniques were used: regional selective fasciectomy (70.5%) and dermofasciectomy with or without skin grafting (29.4%). Most patients presented with stage II or III disease based on Tubiana’s classification. After a mean follow-up of 48.2 months, 85.3% of cases demonstrated good to excellent functional outcomes. The overall complication rate was low, including cases of infection, transient hypoesthesia, delayed wound healing, and one nerve injury that was successfully repaired. The recurrence rate was 5.9%. These findings confirm the efficacy of selective fasciectomy in advanced disease stages, with outcomes consistent with the literature. Minimally invasive approaches such as percutaneous aponeurotomy or collagenase injection may serve as alternatives in selected patients.