The Effects of Prophylactic Limited Palmar Fasciectomy on Surgical Outcomes and Scarring

  • STATUS
    Recruiting
  • End date
    Dec 12, 2022
  • participants needed
    50
  • sponsor
    Mayo Clinic
Updated on 24 February 2022
Investigator
Michelle Hwang
Primary Contact
Mayo Clinic (506.3 mi away) Contact
discomfort
scarring
dupuytren's contracture
fasciotomy
palmar fasciectomy

Summary

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.

Description

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.

Details
Condition Dupuytren Contracture
Treatment Pretendinous cord excision, Division/manipulation of the cord
Clinical Study IdentifierNCT03155854
SponsorMayo Clinic
Last Modified on24 February 2022

Eligibility

Yes No Not Sure

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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