Healing after Bruner and McCash incisions for limited fasciectomy in patients with Dupuytren's disease: a randomized clinical trial.

Abstract

We compared the healing quality of Bruner and McCash incisions for limited fasciectomy in a randomized clinical trial involving 12 women and 60 men with Dupuytren's disease. None had had previous surgery on the affected hand, and all were treated between May 2017 and November 2018. Patients were graded according to the Tubiana classification and randomized to Bruner or McCash groups. Scar assessment was performed 6 months postoperatively using four methods: visual analogue scale score, Vancouver Scar Scale score, and Patient and Observer Scar Assessment Scale. The mean age of the patients was 61 years, and 72% were Caucasian. The mean time since disease onset was 6 years. Compared with the McCash group, the Bruner group had more concerning postoperative complications including wound dehiscence, pain and hypertrophic scarring. The McCash incision technique had more satisfactory results in terms of fewer postoperative complications, better quality of healing and higher patient satisfaction.Level of evidence: I.