scholarly journals The Re-Emergence of Percutaneous Fasciotomy in the Management of Dupuytren’s Disease

2012 ◽  
Vol 6 (1) ◽  
pp. 83-87 ◽  
Author(s):  
James Donaldson ◽  
Nicholas Goddard
Keyword(s):  
Deformity Correction ◽  
Dupuytren’S Disease ◽  
Hypodermic Needle ◽  
Published Data ◽  
Simple Method ◽  
Dupuytren's Disease ◽  
Second Stage ◽  
Scalpel Blade ◽  
Invasive Techniques

Dupuytren’s disease is a common condition. Its management has gradually evolved but still remains a source of much controversy. Recently there has been a resurgence in the popularity of percutaneous needle fasciotomy. It is a simple method that uses a hypodermic needle as a scalpel blade. It is usually performed in the out-patient setting under local anaesthesia without a tourniquet. It has few complications and allows almost immediate return to work with few restrictions. It can provide complete deformity correction and may offer a long-term solution in selected patients. It is also useful in converting advanced contractures into milder deformities, allowing a second stage digito-palmar fasciectomy to be more successful. Recurrence is earlier than with more formal and invasive techniques but the procedure can be repeated and does not preclude the patient from further surgery. This article reviews the technique and assesses the efficacy and outcomes of published data.

Dupuytren's disease in women: Evaluation of long-term results after operation

1987 ◽  
Vol 12 (6) ◽  
pp. 1012-1016 ◽  
Author(s):  
Norman P. Zemel ◽  
Teresa V. Balcomb ◽  
Herbert H. Stark ◽  
Charles R. Ashworth ◽  
Thomas A. Rickard ◽  
...  
Keyword(s):  
Dupuytren’S Disease ◽  
Long Term Results ◽  
Dupuytren's Disease

Prognosis of Long-term Postoperative Complications after Surgical Treatment of Dupuytren's Disease (Contracture)

2019 ◽  
Vol 12 (3) ◽  
pp. 1055
Author(s):  
Gleb I. Mikusev ◽  
Rustem F. Baikeev ◽  
Ruslan O. Magomedov ◽  
Ivan E. Mikusev ◽  
Timur S. Mishakin
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease

Outcome of arthrodesis for severe recurrent proximal interphalangeal joint contractures in Dupuytren’s disease

2020 ◽  
pp. 175319342096030
Author(s):  
Alexander M. Bolt ◽  
Henk Giele ◽  
Ian S. H. McNab ◽  
Michelle Spiteri
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Dupuytren’S Disease ◽  
Salvage Procedure ◽  
Long Term Outcomes ◽  
Level Of Evidence ◽  
Dupuytren's Disease ◽  
Joint Contractures ◽  
Patient Demographics

We report long-term outcomes of proximal interphalangeal joint arthrodesis for treatment of severe recurrent joint contractures secondary to Dupuytren’s disease. The patients had at least two previous procedures for Dupuytren’s contracture that involved the same joint, before undergoing joint fusion. Patient demographics, satisfaction, functional outcome, complications, revision and re-operation rates are reported. Eleven patients were included with a mean age of 64 years (range 53–73). The mean proximal interphalangeal joint contracture at presentation was 102° (range 80°–120°). None required revision surgery at a mean of 8 years and 9 months (range 9–199 months). All patients were able to perform their activities of daily living and would recommend this operation to family and friends. This series shows that proximal interphalangeal joint arthrodesis combined with needle fasciotomy or segmental fasciectomy provides a satisfactory salvage procedure in cases of severe recurrent Dupuytren’s disease. Level of evidence: IV

Proximal fusion constructs in minimally invasive scoliosis surgery are successful without interbody or intertransverse fusion

2019 ◽  
Vol 31 (6) ◽  
pp. 851-856
Author(s):  
S. Shelby Burks ◽  
Juan S. Uribe ◽  
John Paul G. Kolcun ◽  
Adisson Fortunel ◽  
Jakub Godzik ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Deformity Correction ◽  
Scoliosis Surgery ◽  
Inclusion Criteria ◽  
Female Ratio ◽  
Adult Deformity ◽  
Male Female Ratio ◽  
Invasive Techniques

OBJECTIVEMinimally invasive techniques are increasingly used in adult deformity surgery as surgeon familiarity improves and long-term data are published. Concerns raised in such cases include pseudarthrosis at levels where interbody grafts are not utilized. Few previous studies have specifically examined the thoracolumbar component of long surgical constructs, which is commonly instrumented without interbody or intertransverse fusion.METHODSA retrospective analysis was performed on all patients who underwent hybrid minimally invasive deformity corrections in two academic spine centers over a 9-year period. Inclusion criteria were at least 2 rostral levels instrumented percutaneously, ranging from T8 to L1 as the upper end of the construct. Fusion assessment was made using CT when possible or radiography. Common radiographic parameters and clinical variables were assessed pre- and postoperatively.RESULTSA total of 36 patients fit the inclusion criteria. Baseline characteristics included a 1:1.8 male/female ratio, average age of 65.7 years, and BMI of 30.2 kg/m2. Follow-up imaging was obtained at a mean of 35.7 months. The average number of levels fused was 7.5, with an average of 3.4 instrumented percutaneously between T8 and L1, representing a total of 120 rostral levels instrumented percutaneously. Fusion assessment was performed using CT in 69 levels and radiography in 51 levels. Among the 120 rostral levels instrumented percutaneously, robust fusion was noted in 25 (20.8%), with 53 (44.2%) exhibiting some evidence of fusion. Pseudarthrosis was noted in 2 rostral segments (1.7%). There were no instances of proximal hardware revision. Eight patients exhibited radiographic proximal junctional kyphosis (PJK; 22.2%), none of whom underwent surgical intervention.CONCLUSIONSIn the present series of adult patients with scoliosis undergoing thoracolumbar deformity correction, rostral segments instrumented percutaneously have a very low rate of pseudarthrosis, with radiographic evidence of bone fusion occurring in more than 60% of patients. The rate of PJK was acceptable and similar to other published series.

Long-Term Outcome of Radiotherapy for Early Stage Dupuytren’s Disease: A Phase III Clinical Study

2011 ◽  
pp. 349-371 ◽  
Author(s):  
Michael Heinrich Seegenschmiedt ◽  
Ludwig Keilholz ◽  
Mark Wielpütz ◽  
Christine Schubert ◽  
Fabian Fehlauer
Keyword(s):  
Clinical Study ◽  
Early Stage ◽  
Phase Iii ◽  
Dupuytren’S Disease ◽  
Term Outcome ◽  
Dupuytren's Disease ◽  
Long Term Outcome

Dupuytren’s disease: limited fasciectomy, night splinting, and hand exercises—long-term results

2018 ◽  
Vol 29 (2) ◽  
pp. 349-355
Author(s):  
Dimitrios Kitridis ◽  
Paraskevi Karamitsou ◽  
Iraklis Giannaros ◽  
Nikolaos Papadakis ◽  
Chris Sinopidis ◽  
...  
Keyword(s):  
Dupuytren’S Disease ◽  
Long Term Results ◽  
Dupuytren's Disease ◽  
Limited Fasciectomy ◽  
Night Splinting ◽  
Hand Exercises

Long-Term Results after Segmental Aponeurectomy for Dupuytren’s Disease

1996 ◽  
Vol 21 (6) ◽  
pp. 797-800 ◽  
Author(s):  
J. P. MOERMANS
Keyword(s):  
Late Results ◽  
Dupuytren’S Disease ◽  
Long Term Results ◽  
Wound Complications ◽  
Dupuytren's Disease ◽  
Better Than

Segmental aponeurectomy has been proposed as a less extensive procedure for the treatment of Dupuytren’s disease to limit the incidence of wound complications and stiffness associated with wide dissections. Analysis of the late results showed that the operation brought a lasting correction of the contracture. In hands which did not show any sign of progression of the disease, the follow-up values were even slightly better than the immediate postoperative measurements. It also showed that the proportions of recurrences, extensions and hands free of the disease are similar to those after other procedures and that the type of operation does not appear to be related to the progression of Dupuytren’s disease.

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