A Retrospective Review of Cold Intolerance Following Corrective Surgery for Dupuytren's Disease

Abstract Aim To review a single surgeon's experience for the treatment of Dupuytren's disease with XIAPEX injection and the clinical outcomes as measured by a URAM score. Method Retrospective review of patient notes, clinical photography and URAM scores for patients who underwent the procedure between August 2013 and October 2016. Results 33 patients underwent the procedure. 25 patients completed pre and post URAM scores. Average pre procedure score was 19.4 and avergae post procedure score was 3.28 a difference of 16.12 (clinically important change for URAM score is 2.9). Average pre procedure MCPJ contracture was 46.67 degrees and average post procedure contracture was 3.3 degrees. Average pre procedure PIPJ contracture was 66.8 degrees and average post procedure contracture was 8.2 degrees. Where both MCPJ and PIPJ affected of the same digit average pre procedure MCPJ and PIPJ contracture was 60 degrees. The post procedure contracture was 0 degrees in the MCPJ and 29.7 degrees in the PIPJ. 1 patient underwent surgery for progressive disease. Conclusions XIAPEX injection has shown a clinically significant result in the treatment of Dupuytren's disease. There were minimal complications and only 1 patient needed further surgery. However, a small sample size thus conclusions have to be cautious.

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Contracture of the Proximal Interphalangeal Joint in Dupuytren’s Disease

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681(91)90024-i ◽

1991 ◽

Vol 16 (4) ◽

pp. 446-448 ◽

Cited By ~ 21

Author(s):

J. G. ANDREW

Keyword(s):

Anatomical Study ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Dupuytren’S Disease ◽

Corrective Surgery ◽

Collateral Ligaments ◽

Flexion Deformity ◽

Dupuytren's Disease ◽

Secondary Damage ◽

Fixed Flexion Deformity

The correction of fixed flexion deformity at the P.I.P. joint in Dupuytren’s disease is often difficult. This paper reports an anatomical study of this joint in fingers amputated because of this condition. All the joints would extend fully after release of the accessory collateral ligaments and volar plate. Lateral and dorsal structures showed severe secondary damage and it is suggested that these changes may explain the poor results of corrective surgery to this joint in Dupuytren’s disease.

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SEVERE CONTRACTURES OF THE PROXIMAL INTERPHALANGEAL JOINT IN DUPUYTREN'S DISEASE: VALUE OF CAPSULOLIGAMENTOUS RELEASE

Hand Surgery ◽

10.1142/s0218810499000162 ◽

1999 ◽

Vol 04 (01) ◽

pp. 57-61 ◽

Cited By ~ 5

Author(s):

Kirsten Beyermann ◽

Corinna Jacobs ◽

Ulrich Lanz

Keyword(s):

Retrospective Review ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Dupuytren’S Disease ◽

Dupuytren's Disease ◽

Flexion Contractures ◽

Significant Difference ◽

Capsuloligamentous Release

A retrospective review of severe flexion contractures (60° or more), involving 51 proximal interphalangeal joints in 40 patients with Dupuytren's disease, was performed. Thirty-two joints underwent aponeurectomy alone, 19 joints additional capsuloligamentous release. Mean follow-up was 12 months. No statistically significant difference was seen in the percentage of contracture correction in the capsulotomy group compared with the noncapsulotomy group.

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