The Effect of Night Extension Orthoses Following Surgical Release of Dupuytren Contracture: A Single-Center, Randomized, Controlled Trial

Collis, Julie; Collocott, Shirley; Hing, Wayne; Kelly, Edel

doi:10.1016/j.jhsa.2013.04.012

Cited by 43 publications

(37 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another 2 RCTs scored 40% to 50% of the total score (33%). Based on the methodological quality of the assessment, if the quality of studies is >50%, it is high quality, if it is 50>quality >30, the quality is moderate, and if it is <30, it is low quality [10].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review

et al. 2019

View full text Add to dashboard Cite

Flexion contracture in fingers of hands is a complication of Dupuytren's contracture and cannot be stopped by the progressive course. The aim of this study was to review the effect of splinting in the correction of contracture after Dupuytren's contracture operation. Methods: To carry out this research, a kind of systematic evidence-based review process (Duffy 2005) was used. For data gathering, we used electronic database and Persian-and English-language specific journals between 1990 and January 2019. The keywords were related to examine the effect of various splinting after Dupuytren's contracture operation. Results: After data gathering, 26 articles about Dupuytren's contracture were found; after checking and deep reviewing of those articles, 17 articles were removed from the study and 9 articles were included in the study for reviewing. The results of a review article based on using splint in Dupuytren's contracture after operation were classified into 6 categories, including static splint, dynamic splint, day splint, night splint, the time duration of splinting, and prescribed time of splinting. Discussion: Splint alone has been ineffective in reducing contracture. Static splint and hand therapy (exercise) are together the most effective way for the treatment of Dupuytren's contracture. Occasional and irregular use of splint also has no effect on pain relief and the reduction of contracture. The pressure and force of splint will be gradually increased, and the splint should be used at least for 3 months, too.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Collis et al [10] 2013 RCT 56 In this study, the splint was used for 3 months after the DC operation.…”

Section: Ebskovmentioning

confidence: 97%

See 1 more Smart Citation

The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…time extension orthoses and hand therapy or hand therapy alone and reported no differences between the two groups in terms of active ROM or hand function [72]. A similar study found night time splinting offered no benefit in terms of ROM and function at 1 year after surgery and recommended splinting should only be utilized when extension deficits occur [73].…”

Section: Essentials Of Hand Surgerymentioning

confidence: 92%

Dupuytren’s Disease

Lubahn¹

2018

Essentials of Hand Surgery

View full text Add to dashboard Cite

Dupuytren's disease is a fibroproliferative disease affecting the palmar fascia of the hand and leading to flexion contractures of the digits. It was first described in Northern European populations and derived its namesake from Dr. Baron Dupuytren, a French surgeon, who was one of the first to lecture on the disease. The etiology of Dupuytren's disease is unclear but is likely influenced by both genetic and environmental factors. Older individuals and men are most at risk of developing the disease. Dupuytren's disease is a clinical diagnosis and patients often present with gradually worsening flexion contractures. Mild disease is usually observed, but surgical treatment is preferred for debilitating contractures. A variety of surgical techniques have been described involving either incising or excising diseased fascia. Overall, surgery is effective in correcting contractures and improving function, but despite successful treatment some patients still experience recurrence. More recently, collagenase injections and percutaneous procedures have been utilized to treat Dupuytren's disease and have yielded promising results in select patients.

show abstract

“…Although the authors concluded that two joints can be treated safely with collagenase, the higher rates of adverse events are worrisome with regard to extending this treatment to single-stage, whole-hand treatment. Splinting after surgery for Dupuytren contracture is commonly continued for up to three weeks postoperatively, but a recent prospective randomized study calls this practice into question 10 . Fifty-six patients were randomized to have either therapy alone or therapy plus night-time splinting for three months postoperatively.…”

Section: Dupuytren Contracturementioning

confidence: 99%

What’s New in Hand Surgery

Amadio

2015

The Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

The Effect of Night Extension Orthoses Following Surgical Release of Dupuytren Contracture: A Single-Center, Randomized, Controlled Trial

Cited by 43 publications

References 29 publications

The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review

The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review

Dupuytren’s Disease

What’s New in Hand Surgery

Contact Info

Product

Resources

About