Segmental Aponeurectomy for Dupuytren’s Disease: A Prospective Study

The purpose of this study was to determine whether preoperative contracture and the amount of intraoperative correction can be used to predict the postoperative outcome of fasciectomy for Dupuytren’s disease. A prospective study of 52 patients undergoing primary fasciectomy during an 18 month period was undertaken. The contracture of each joint was measured preoperatively, after fasciectomy during the operation and 6 months after surgery. Forty-two metacarpophalangeal (MCPJ) and 58 proximal interphalangeal (PIPJ) joints were treated surgically. Full intraoperative correction was achieved in 41 MCPJs. Thirty-seven had full correction at follow-up. Full intraoperative correction was obtained in 35 PIPJs and 13 had complete correction at follow-up. The extent of the preoperative deformity was a significant predictor of complete intraoperative correction. The extent of both preoperative deformity and intraoperative correction were significant predictors of loss of surgical correction after operation.

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Seven-year clinical outcomes after collagenase injection in patients with Dupuytren's disease: A prospective study

Journal of Orthopaedics ◽

10.1016/j.jor.2020.03.028 ◽

2020 ◽

Vol 21 ◽

pp. 218-222 ◽

Cited By ~ 4

Author(s):

Rocco De Vitis ◽

Marco Passiatore ◽

Andrea Perna ◽

Silvia Careri ◽

Vitale Cilli ◽

...

Keyword(s):

Prospective Study ◽

Clinical Outcomes ◽

Dupuytren’S Disease ◽

Dupuytren's Disease ◽

Collagenase Injection ◽

A Prospective Study

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Severe Contracture of the Proximal Interphalangeal Joint in Dupuytren’s Disease: Does Capsuloligamentous Release Improve Outcome?

Journal of Hand Surgery (European Volume) ◽

10.1016/j.jhsb.2004.02.002 ◽

2004 ◽

Vol 29 (3) ◽

pp. 238-241 ◽

Cited By ~ 30

Author(s):

K. BEYERMANN ◽

K. J. PROMMERSBERGER ◽

C. JACOBS ◽

U. B. LANZ

Keyword(s):

Prospective Study ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Joint Contracture ◽

Dupuytren’S Disease ◽

Postoperative Rehabilitation ◽

Dupuytren's Disease ◽

Improve Outcome ◽

Capsuloligamentous Release

This prospective study assessed whether patients with severe proximal interphalangeal joint contracture (≥60°) due to Dupuytren’s disease which persisted after fasciectomy alone benefited from an additional capsuloligamentous release. Forty-three patients with 43 severely contracted proximal interphalangeal joints underwent operative correction followed by a standardized postoperative rehabilitation programme. All were followed for 6 months. In 11 patients correction of the proximal interphalangeal joint to 20° could not be achieved by fasciectomy alone, and an additional capsuloligamentous release was performed which effectively corrected all their residual flexion contractures. There were no statistically significant differences between the capsulotomy and the non-capsulotomy group with respect to the residual proximal interphalangeal joint contracture at the end of surgery, or at their last follow-up examination.

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Psychometric Properties of Health-Related Quality of Life Instruments in Patients Undergoing Palmar Fasciectomy for Dupuytren's Disease: A Prospective Study

Hand ◽

10.1007/s11552-013-9597-3 ◽

2014 ◽

Vol 9 (2) ◽

pp. 166-174 ◽

Cited By ~ 7

Author(s):

Achilleas Thoma ◽

Manraj Nirmal Kaur ◽

Teegan Aili Ignacy ◽

Carolyn Levis ◽

Stuart Martin ◽

...

Keyword(s):

Quality Of Life ◽

Prospective Study ◽

Psychometric Properties ◽

Health Related Quality ◽

Dupuytren's Disease ◽

Related Quality ◽

Health Related ◽

A Prospective Study ◽

Quality Of Life Instruments

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Proximal Interphalangeal Joint Release in Dupuytren’s Disease of the Little Finger

Journal of Hand Surgery (European Volume) ◽

10.1016/j.jhsb.2003.08.005 ◽

2004 ◽

Vol 29 (1) ◽

pp. 15-17 ◽

Cited By ~ 19

Author(s):

J. F. S. RITCHIE ◽

K. M. VENU ◽

K. PILLAI ◽

D. H. YANNI

Keyword(s):

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Dupuytren’S Disease ◽

Flexion Deformity ◽

Dupuytren's Disease ◽

Sequential Release ◽

Full Correction ◽

A Prospective Study ◽

Fixed Flexion Deformity ◽

Little Finger

We present a prospective study, with 3-year follow-up, of the role and outcome of fasciectomy plus sequential surgical release of structures of the proximal interphalangeal joint in Dupuytren’s contracture of the little finger. Our treatment programme involves fasciectomy for all patients followed by sequential release of the accessory collateral ligament and volar plate as necessary. Of the 19 fingers in the study, eight achieved a full correction by fasciectomy alone, and in these cases there was a fixed flexion deformity of 6° at 3 months and 8° at 3 years. The remaining 11 fingers (initial mean deformity 70° flexion) were left with a fixed flexion deformity of 42° after fasciectomy which reduced to 7° with capsuloligamentous release. This increased to 26° at 3 months but then remained relatively stable, increasing only to 29° at 3 years. In our experience sequential proximal interphalangeal joint release has led to consistently good results with few complications in the correction of severe Dupuytren’s disease of the little finger.

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