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)

What this Trial Is About

This research focuses on patients diagnosed with trigger finger who also have a thickened Dupuytren's pretendinous cord and have chosen surgery over medical treatment. The study aims to evaluate a new surgical technique designed to reduce complications such as scarring, stiffness, pain, and loss of motion that can occur after trigger finger surgery when a Dupuytren's cord is present. Participants will be randomly assigned to one of two surgical approaches: either removal (excision) of the involved Dupuytren's fascia or division and incision of the pretendinous cord. This comparison will help determine if removing the cord reduces scarring and other complications compared to simply cutting it. Throughout the study, researchers will closely monitor participants' scar progression using validated scales, including the Vancouver Scar Scale and the Patient and Observer Scar Assessment Scale. These assessments will occur from baseline up to one year post-surgery. The study is sponsored by Mayo Clinic and involves no masking or blinding. Participants' experience and outcomes will be followed over this period to better understand the surgical effects on scarring and hand function.

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