Operative Behandlung der Dupuytren-Beugekontraktur
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Operative Behandlung der Dupuytren-Beugekontraktur : Arthrolyse des Fingermittelgelenks. / Hohendorff, B; Franke, J; Spies, C K; Unglaub, F; Müller, L P; Ries, C.
In: ORTHOPADE, Vol. 46, No. 4, 04.2017, p. 328-335.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Operative Behandlung der Dupuytren-Beugekontraktur
T2 - Arthrolyse des Fingermittelgelenks
AU - Hohendorff, B
AU - Franke, J
AU - Spies, C K
AU - Unglaub, F
AU - Müller, L P
AU - Ries, C
PY - 2017/4
Y1 - 2017/4
N2 - BACKGROUND: In the operative treatment of Dupuytren's disease, in certain cases proximal interphalangeal joint flexion contracture remains after fasciectomy due to shrinkage, shortening, and/or adhesion of the periarticular structures.OBJECTIVES: How can a residual flexion contracture of the proximal interphalangeal joint after partial fasciectomy in Dupuytren's disease be treated surgically and what follow-up results can be expected?METHODS: Description of anatomy, indication, surgical technique of arthrolysis of the proximal interphalangeal joint, postoperative treatment, and critical analysis of the results reported in the literature.RESULTS: Arthrolysis of the proximal interphalangeal joint is performed in up to six consecutive steps. An improvement of only about 50% compared to preoperative flexion contracture can be expected.CONCLUSIONS: Despite alleged unsatisfactory results arthrolysis of the proximal interphalangeal joint can be recommended in surgery of Dupuytren's disease. In certain cases, patient cooperation during lengthy postoperative treatment is necessary.
AB - BACKGROUND: In the operative treatment of Dupuytren's disease, in certain cases proximal interphalangeal joint flexion contracture remains after fasciectomy due to shrinkage, shortening, and/or adhesion of the periarticular structures.OBJECTIVES: How can a residual flexion contracture of the proximal interphalangeal joint after partial fasciectomy in Dupuytren's disease be treated surgically and what follow-up results can be expected?METHODS: Description of anatomy, indication, surgical technique of arthrolysis of the proximal interphalangeal joint, postoperative treatment, and critical analysis of the results reported in the literature.RESULTS: Arthrolysis of the proximal interphalangeal joint is performed in up to six consecutive steps. An improvement of only about 50% compared to preoperative flexion contracture can be expected.CONCLUSIONS: Despite alleged unsatisfactory results arthrolysis of the proximal interphalangeal joint can be recommended in surgery of Dupuytren's disease. In certain cases, patient cooperation during lengthy postoperative treatment is necessary.
KW - Dupuytren Contracture/pathology
KW - Evidence-Based Medicine
KW - Fasciotomy/methods
KW - Finger Joint/pathology
KW - Humans
KW - Minimally Invasive Surgical Procedures/methods
KW - Tissue Adhesions/pathology
KW - Treatment Outcome
U2 - 10.1007/s00132-017-3387-5
DO - 10.1007/s00132-017-3387-5
M3 - SCORING: Review
C2 - 28175957
VL - 46
SP - 328
EP - 335
JO - ORTHOPADE
JF - ORTHOPADE
SN - 0085-4530
IS - 4
ER -