Register of Dupuytren’s Disease (Contracture) in Tatarstan Republic: Efficacy of Surgical Treatment

Abstract

Analysis of Dupuytren’s contracture (DC) surgical treatment efficacy according to the Tatarstan Republic DC Register (258 patients, 343 hands) was performed. Partial wedge-shaped excision of palmar aponeurosis was the most common intervention on both the right and left hand. Late (1 year and over) postoperative complications (POC) — relapse, dissemination, progression were detected in 41.8% of patients at terms up to 15 years. Presence of POC on the operated hand caused disturbance of its function in 11.9% of cases on the right and 16.3% of cases on the left. Curability from DC made up 34.9 — 73.8% depending on the operated hand. Complete restoration of hand function was achieved in 22.2—100% of observations. Surgical treatment of DC enabled to ensure favorable patient’s condition at term 1 year and over in 67.5 and 59.9% of cases on the right and left hand respectively.

Technology for Prognosis of the Functional Status of Hand After Surgical Treatment of Dupuytren’s Disease (Contracture)

“…Advance. The functional status of hand(FSH) after operation was estimated according to the original scale (table 2) (Magomedov et al, 2013) where FSH and the patient's cure were estimated. The cure was appreciated as complete recovery of hand function (i.e.…”