Eighteen years follow-up study of the clinical manifestations and progression of Dupuytren's disease

We studied the influence of the type of skin incision on the recurrence rate following fasciectomy for Dupuytren’s disease. Patients were randomized 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.

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Dupuytren's disease: analysis of 110 patients on a long-term follow-up

European Journal of Plastic Surgery ◽

10.1007/bf00183696 ◽

1995 ◽

Vol 18 (1) ◽

Cited By ~ 3

Author(s):

J.S. Rebelo ◽

J.B. Ferreira ◽

J. Bol�o-Tom�

Keyword(s):

Dupuytren’S Disease ◽

Dupuytren's Disease ◽

Long Term Follow Up ◽

Disease Analysis

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Skin Replacement in Dupuytren’s Disease

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(97)80061-7 ◽

1997 ◽

Vol 22 (2) ◽

pp. 193-197 ◽

Cited By ~ 57

Author(s):

P. N. HALL ◽

A. FITZGERALD ◽

G. D. STERNE ◽

A. M. LOGAN

Keyword(s):

Disease Control ◽

Recurrence Rate ◽

Dupuytren’S Disease ◽

Skin Grafts ◽

Skin Involvement ◽

Joint Movement ◽

Dupuytren's Disease ◽

Primary Procedure ◽

Skin Replacement

We have reviewed 90 rays in 67 patients who had undergone radical digital dermofasciectomy. Follow-up was from 24 to 100 months. Problems with skin grafts, moving two-point discrimination and active range of joint movement were noted. The recurrence rate in this series was 8%, a very much better figure for disease control than has been reported for standard approaches for Dupuytren’s disease. Radical digital dermofasciectomy is strongly recommended for all cases of recurrent Dupuytren’s disease requiring reoperation and as a primary procedure when there is significant skin involvement.

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Discectomy with Subsequent Free Fat Flap Insertion in Disc Perforation Therapy of Temporomandibular Joint. Assessment of Results 24 Months after Operation

Prague Medical Report ◽

10.14712/23362936.2020.8 ◽

2020 ◽

Vol 121 (2) ◽

pp. 96-106

Author(s):

Vladimír Machoň ◽

Juhi Vir ◽

Jitka Levorová ◽

Michal Beňo ◽

Dušan Hirjak ◽

...

Keyword(s):

Clinical Manifestations ◽

Mouth Opening ◽

Cone Beam ◽

Analog Scale ◽

Limited Mobility ◽

Follow Up Study ◽

Number Of Patients ◽

Short Time ◽

Joint Assessment

Discectomy with replacement of disc is one possibility for treating disc perforation where conservative, mini-invasive therapy and arthroscopy has had no effect. Allogenic or autologous materials are used to replace the disc. The authors assess the use of a free fat flap (FFF) in 19 patients who in 2015–2016 underwent a unilateral discectomy with disc replacement. In the retrospective 24-month follow-up study a total of 16 patients (84%) were free of difficulties. 24 months after the operation mouth opening was on average 39.3 mm, pain (VAS – visual analog scale (0–10) was assessed on average at 0.3). Crepitus was present after 24 months in 37.5% of patients (6 patients). An assessment of changes in joint structures on cone beam computed tomography (CBCT) for these patients 24 months after the operation showed the progression of flattening of the joint head, in one case unevenness of the joint head. In 3 cases (16%) there was a recurrence of the state within 24 months – in all cases with clinical manifestations of pain and limited mobility, for these patients on the CBCT significant unevennesses of the joint head, subchondral cysts were noted. The authors find discectomy with use of FFF to be an effective method of treatment with a minimum of complications. However, one should take into account the relatively short time of monitoring after the operation (2 years) and limited number of patients in the cohort (19 patients).

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