The Effects of Prophylactic Limited Palmar Fasciectomy on Surgical Outcomes and Scarring
| Status: | Recruiting |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/27/2019 |
| Start Date: | September 2016 |
| End Date: | December 2020 |
| Contact: | Michelle Hwang |
| Email: | hwang.soyun@mayo.edu |
The Effects of Prophylactic Limited Palmar Fasciectomy on Surgical Outcomes and Scarring for Dupuytren's Contracture Patients With Pretendinous Cord - Prospective Randomized Clinical Study (Pilot)
Research is instrumental for improving medical care and the patient experience. Finding new
surgical techniques can create better outcomes and minimize recovery time and complications
for patients. Some patients undergoing trigger finger surgery with a pre-existing Dupuytren's
cord may develop a thickened surgical scar after surgery, which can cause discomfort,
difficulty with moving or using, and other complications in the affected finger(s) or hand.
The investigator is investigating a surgical technique to minimize these potential
complications and scarring after surgery.
Subjects are being asked to take part in this research study because they have been diagnosed
with trigger finger and pretendinous Dupuytren's cord and have decided to undergo surgery
rather than try medical treatment.
surgical techniques can create better outcomes and minimize recovery time and complications
for patients. Some patients undergoing trigger finger surgery with a pre-existing Dupuytren's
cord may develop a thickened surgical scar after surgery, which can cause discomfort,
difficulty with moving or using, and other complications in the affected finger(s) or hand.
The investigator is investigating a surgical technique to minimize these potential
complications and scarring after surgery.
Subjects are being asked to take part in this research study because they have been diagnosed
with trigger finger and pretendinous Dupuytren's cord and have decided to undergo surgery
rather than try medical treatment.
Patients who have surgery for trigger finger with a thickened overlying Dupuytren's cord are
at risk for complications including but not limited to scarring, adhesions, stiffness, injury
to underlying structures such as blood vessels, tendons and nerves, loss of motion, pain,
bowstringing, and recurrent triggering or contracture. They have been shown to have higher
risk for these complications including a thickened scar response. The cause for this is not
fully understood, but it could be because the pretendinous cord was cut and not removed. By
cutting and not removing this pretendinous cord, this may cause extra scarring that may lead
to a thicker palmar scar that may become symptomatic. This study will investigate a different
surgical method for relieving the tension caused by a pretendinous cord and whether it
reduces complications and scarring.
at risk for complications including but not limited to scarring, adhesions, stiffness, injury
to underlying structures such as blood vessels, tendons and nerves, loss of motion, pain,
bowstringing, and recurrent triggering or contracture. They have been shown to have higher
risk for these complications including a thickened scar response. The cause for this is not
fully understood, but it could be because the pretendinous cord was cut and not removed. By
cutting and not removing this pretendinous cord, this may cause extra scarring that may lead
to a thicker palmar scar that may become symptomatic. This study will investigate a different
surgical method for relieving the tension caused by a pretendinous cord and whether it
reduces complications and scarring.
Inclusion Criteria:
- Potential candidates for the study will be selected based upon clinical diagnosis of
trigger finger with co-existing pretendinous cord. All potential subjects will have
either failed non operative treatment or elected surgical treatment.
Exclusion Criteria:
- <18 years of age
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