Dupuytren's Contracture: A 10-Year Retrospective Study

Dupuytren’s contracture is a progressive, benign fibroproliferative disease characterized by abnormal collagen accumulation in the palmar region of the hand and flexor surfaces of the fingers. This study retrospectively reviewed 257 patients who underwent surgery at our clinic between January 2014 and December 2024 using electronic hospital records. The analysis focused on age, sex, number of operated hands, affected fingers, annual surgical distribution, skin closure techniques, and comorbidities. Among the 257 patients, 24 underwent bilateral surgery, and five required reoperation due to recurrence, resulting in a total of 286 operated hands. The study cohort consisted of 196 male and 61 female patients. Bilateral surgery was performed in 21 male and three female patients, while five male patients required a second operation due to recurrence. The mean age of the patients was 60 years (range: 34-83). In 73.4% of cases, both the hand and fingers were affected, while 25.8% had isolated palmar involvement. The fourth finger was the most frequently affected (78.5%), followed by the fifth finger (57.6%). Z-plasty was used for skin closure in 222 out of 286 operated hands. This study aims to explore the risk factors associated with Dupuytren’s contracture and contribute to the understanding of its prevalence in our region, enhancing regional data.