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

Abstract

Dupuytren’s disease is an acute and multifaceted problem that affects not only medicine but also psychology, social life, since a person who has lost the ability to perform his/her socially significant functions experiences moral and physical suffering. From the first description of Dupuytren’s disease to the present, questions of etiology, pathogenesis, classification, treatment methods, and features of the preventive measures of this disease remain debatable. Therefore, the main goal of the paper was to analyze the technology for predicting the functional state of the hand after surgical treatment of Dupuytren’s disease (contracture). The study was conducted at the Department of Hand Microsurgery of the Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan. The total number of patients under observation was 258, age 21-80 years. The research results were grouped into 6 combinations. It has been determined that three groups of factors affect the recovery degree: A (gender, age, examination period, severity); B (place of residence, physical and mental work, bad habits); C (surgeon's experience, types of operations, anaesthesia, section, skin plastic, reconstructive treatment, healing, etc.). It has been found that it is possible to achieve full restoration of the function of the wrist on the right hand in 67.5% of patients and on the left hand in 59.9% of patients in periods of more than one year.

RETRACTED: Corrective Osteotomy of Malunited Fractures of the Distal Radius Using a Combined Surgical Approach

“…Following corrective opening-wedge osteotomy using LCPs, bone repair of the existing defects may not be required. [26][27][28] However, large defects normally require their filling. Moreover, the placement of a trapezoidal bone autograft with a wide base toward the dorsal surface is difficult with the palmar approach alone.…”