Faculty Opinions recommendation of Five-year results of a randomized clinical trial on treatment in Dupuytren's disease: percutaneous needle fasciotomy versus limited fasciectomy.

2019 ◽  
Author(s):  
Jagdeep Nanchahal
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Limited Fasciectomy

A Comparison of the Direct Outcomes of Percutaneous Needle Fasciotomy and Limited Fasciectomy for Dupuytren’s Disease: A 6-Week Follow-Up Study

2006 ◽  
Vol 31 (5) ◽  
pp. 717-725 ◽  
Author(s):  
Annet L. van Rijssen ◽  
Feike S.J. Gerbrandy ◽  
Hein Ter Linden ◽  
Helen Klip ◽  
Paul M.N. Werker
Keyword(s):  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Follow Up Study ◽  
Limited Fasciectomy

scholarly journals Serious complications and risk of re-operation after Dupuytren’s disease surgery: a population-based cohort study of 121,488 patients in England

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Osaid Alser ◽  
Richard S. Craig ◽  
Jennifer C. E. Lane ◽  
Albert Prats-Uribe ◽  
Danielle E. Robinson ◽  
...  
Keyword(s):  
Cohort Study ◽  
High Risk ◽  
Case Series ◽  
Population Based ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Systemic Complications ◽  
Increased Risk ◽  
Risk Patients ◽  
Limited Fasciectomy

Abstract Dupuytren’s disease (DD) is a common fibro-proliferative disorder of the palm. We estimated the risk of serious local and systemic complications and re-operation after DD surgery. We queried England’s Hospital Episode Statistics database and included all adult DD patients who were surgically treated. A longitudinal cohort study and self-controlled case series were conducted. Between 1 April 2007 and 31 March 2017, 121,488 adults underwent 158,119 operations for DD. The cumulative incidence of 90-day serious local complications was low at 1.2% (95% CI 1.1–1.2). However, the amputation rate for re-operation by limited fasciectomy following dermofasciectomy was 8%. 90-day systemic complications were also uncommon at 0.78% (95% CI 0.74–0.83), however operations routinely performed under general or regional anaesthesia carried an increased risk of serious systemic complications such as myocardial infarction. Re-operation was lower than previous reports (33.7% for percutaneous needle fasciotomy, 19.5% for limited fasciectomy, and 18.2% for dermofasciectomy). Overall, DD surgery performed in England was safe; however, re-operation by after dermofasciectomy carries a high risk of amputation. Furthermore, whilst serious systemic complications were unusual, the data suggest that high-risk patients should undergo treatment under local anaesthesia. These data will inform better shared decision-making regarding this common condition.

scholarly journals Better patients’ treatment experiences are associated with better postoperative results in Dupuytren’s disease

2018 ◽  
Vol 43 (8) ◽  
pp. 848-854 ◽  
Author(s):  
Ralph Poelstra ◽  
Ruud W. Selles ◽  
Harm P. Slijper ◽  
Mark J.W. van der Oest ◽  
Reinier Feitz ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Healthcare Delivery ◽  
Dupuytren’S Disease ◽  
Postoperative Treatment ◽  
Extension Deficit ◽  
Level Of Evidence ◽  
Dupuytren's Disease ◽  
Patient Reported ◽  
Treatment Context ◽  
Limited Fasciectomy

This prospective study investigates the extent to which a better experience with healthcare delivery is associated with better postoperative treatment outcomes after surgery for Dupuytren’s contracture. Patients undergoing limited fasciectomy or percutaneous needle fasciotomy for Dupuytren’s contractures completed the Michigan Hand Outcomes Questionnaire before and 3 months after surgery, together with a patient reported experience measure, while hand therapists assessed the straightness of the finger with a goniometer. Regression analyses were used to examine associations. We found that a better experience with healthcare delivery was associated with better patient-reported outcomes, while association with residual extension deficit was minimal. Strongest associations were seen with communication of the physician, postoperative care and information about the treatment. Experience with the treatment explained up to 12% of the variance in treatment outcome. These findings suggest that patient reported treatment outcomes in Dupuytren’s disease can be improved by improving the treatment context. Level of evidence: II

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

scholarly journals RANDOMIZED CONTROLLED TRIAL OF LIMITED FASCIECTOMY WITH INJECTION OF ADIPOSE GRAFT FOR DUPUYTREN’S DISEASE

2020 ◽  
Vol 28 (4) ◽  
pp. 159-164
Author(s):  
Marina Tommasini C. Sambuy ◽  
Hugo A. Nakamoto ◽  
Raul Bolliger Neto ◽  
Rames Mattar Jr. ◽  
Marcelo R. Rezende ◽  
...  
Keyword(s):  
Genetic Disorder ◽  
Dupuytren’S Disease ◽  
Long Term Results ◽  
Fat Graft ◽  
Functional Score ◽  
Control Group ◽  
Complication Rates ◽  
Dupuytren's Disease ◽  
Significant Difference ◽  
Limited Fasciectomy

ABSTRACT Objective: Dupuytren’s disease is a genetic disorder related to the proliferation of myofibroblasts. The pluripotent property of stem cells present in adipose tissue inhibits myofibroblast proliferation. Our study sought to evaluate the effect of stem cell-rich fat grafts in patients that underwent limited fasciectomy. Methods: We studied 45 patients, in a single-blind, prospective, randomized clinical trial. All patients underwent limited fasciectomy. In one group, fat graft was injected. Results: The total passive extension deficit results did not exhibit a significant difference. Fat group exhibited worse functional score at 6 months and 1 year postoperatively, such as higher complication rates (43%), when compared with control group (8%), and more pain at 6 weeks follow-up. Conclusion: Fat grafting associated with limited fasciectomy promotes worse functional results compared to conventional limited fasciectomy in the short term. However, long-term results and recurrence rates should be further assessed. Level of Evidence II, Prospective comparative study.

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