Dupuytren's Contracture—The Role of Fasciotomy

Colville, J.

doi:10.1016/s0072-968x(83)80008-4

Cited by 36 publications

(12 citation statements)

References 3 publications

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“…Recently, enzymatic fasciotomy with collagenase and percutaneous aponeurotomy have shown promising results. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] …”

mentioning

confidence: 99%

New Treatment Options for Dupuytren's Surgery: Collagenase and Percutaneous Aponeurotomy

Srinivasan

Shah

Jebson

2010

The Journal of Hand Surgery

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“…Recently, enzymatic fasciotomy with collagenase and percutaneous aponeurotomy have shown promising results. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] …”

mentioning

confidence: 99%

New Treatment Options for Dupuytren's Surgery: Collagenase and Percutaneous Aponeurotomy

Srinivasan

Shah

Jebson

2010

The Journal of Hand Surgery

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“…Complications were limited to tingling in the fingers, resolving after a number of weeks. It was concluded that PCF allows recovery of useful extension, and that even if the results are not permanent, the patients can be treated with the same technique years later [4].…”

Section: Resultsmentioning

confidence: 99%

Percutaneous Fasciotomy for the Treatment of Dupuytren's Disease—A Systematic Review

Salhi

Cardin-Langlois

Luc

2011

Hand (New York, N,Y.)

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Background Dupuytren's disease is described as a thickening of the palmar fascia. It typically affects men of Northern European descent in their fifties. The disease process starts as a nodule at the distal palmar crease that progressively gives rise to a cord invading distally toward the finger. Historically, different treatments have been described. Our purpose was to perform a meta-analysis of the evidence published on the percutaneous fasciotomy (PCF) treatment. Methods We searched Medline, PubMed, and the Cochrane Library for articles evalu ating the use of PCF for Dupuytren's disease. No study was excluded based on quality. Results The search yielded nine studies. Because of their different methodologies, a meta-analysis could not be performed. However, we were able to extract common qualitative conclusions. PCF is an effective treatment modality for patients in whom general anesthesia is contraindicated, with a good outcome especially at the metacarpophalangeal joint, a low recurrence rate in the short term, and few complications. Conclusions Similar conclusions were reached by all the articles under study. Nevertheless, there remains the need for a prospective study with a higher statistical power and standardized clinical evaluation and surgical methods in order to achieve more objective quantitative results. It would also be pertinent to compare the outcomes and complication rates of PCF with the new collagenase treatment.

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“…A bending contracture of MCP joint, produced because the aponeurosis' longitudinal cord resembles a string, can be easily compensated for with a transcutaneous incision that leaves only a small (3-5 mm) wound. Independent of the operational technique, a contracture in the PIP joint is always a more serious problem since there are more structures (the central, spiral, Natatory, and Greyson cord) involved in its formation (4,7). Furthermore, the PIP joint, in contrast to MCP, has poor toleration of longlasting contracture.…”

Section: Discussionmentioning

confidence: 99%

Early Results of Open Fasciotomy as a Treatment of Dupuytren's Disease in Elderly Patients

Jabłecki¹,

Kaczmarzyk²,

Domanasiewicz³

et al. 2007

Polish Journal of Surgery

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The demand for treatment of Dupuytren's disease by a procedure of limited invasiveness and quick recovery is increasing in accordance with aging of the Polish population. Such a demand is fulfilled by different types of fasciotomy (open, percutaneous needle fasciotomy). The aim of the study was to asses the early results of the open fasciotomy in elderly patients. Material and methods. We treated 38 patients (61 fingers) whose mean age was 72 (SD 12) by open fasciotomy; 43 fingers presented stage III Tubiana contracture, 18 stage IV. The pre-operative total passive extension deficit was 123° (78° for stage III group, 111° for stage IV group). All the procedures were performed in outpatient setting. Patients used splint for 5 days, then performed finger -extension exercises and were encouraged to use their hands normally after 1 week. Results. The evaluation of the results was performed 4 weeks post-op. The greatest improvement in both of the groups was noted in MCP joint -80% and in PIP joint -48%, this difference is statistically significant. The general improvement ratio was 76%, greater in stage III group -82% whereas in stage IV group 69%, but this difference was not statistically significant. All of the wounds healed up to 3 weeks, no complications were observed. Conclusion.The open fasciotomy is a recommendable short term treatment in patients of advanced age, suffering from stage III and stage IV of Dupuytren's disease.

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Dupuytren's Contracture—The Role of Fasciotomy

Cited by 36 publications

References 3 publications

New Treatment Options for Dupuytren's Surgery: Collagenase and Percutaneous Aponeurotomy

New Treatment Options for Dupuytren's Surgery: Collagenase and Percutaneous Aponeurotomy

Percutaneous Fasciotomy for the Treatment of Dupuytren's Disease—A Systematic Review

Early Results of Open Fasciotomy as a Treatment of Dupuytren's Disease in Elderly Patients

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