There are only three Level I studies comparing surgical techniques for the treatment of primary Dupuytren ’s contracture , and the evidence does not support one procedure above another , other than to show a particularly high recurrence rate after needle fasciotomy .
There is no consensus on the most effective operation for primary Dupuytren ’s contracture .
This systematic review evaluates the reported rates of recurrence and complications , as well as the strength of evidence , for individual procedures .
Recurrence after Surgery for Dupuytren’s Disease: A Randomized Trial of Two Skin Incisions
We studied the influence of the type of skin incision on the recurrence rate  following fasciectomy for Dupuytren ’s disease . Patients were r and omized to a longitudinal incision closed with Z-plasties or a modified Bruner incision closed by Y – V plasties .  Follow-up was for at least 2 years or until a recurrence was noted . We found no statistical difference in recurrence rate between patients having these two skin incisions and closures
There are only three Level I studies comparing surgical techniques for the treatment of primary Dupuytren ’s contracture , and the evidence does not support one procedure above another , other than to show a particularly high recurrence rate after needle fasciotomy .
There is no consensus on the most effective operation for primary Dupuytren ’s contracture .
This systematic review evaluates the reported rates of recurrence and complications , as well as the strength of evidence , for individual procedures .