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 journalSCORING: Review articleResearch

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Hohendorff, B, Franke, J, Spies, CK, Unglaub, F, Müller, LP & Ries, C 2017, 'Operative Behandlung der Dupuytren-Beugekontraktur: Arthrolyse des Fingermittelgelenks', ORTHOPADE, vol. 46, no. 4, pp. 328-335. https://doi.org/10.1007/s00132-017-3387-5

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@article{9976d5bdca844aae90968f7fc2946258,
title = "Operative Behandlung der Dupuytren-Beugekontraktur: Arthrolyse des Fingermittelgelenks",
abstract = "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.",
keywords = "Dupuytren Contracture/pathology, Evidence-Based Medicine, Fasciotomy/methods, Finger Joint/pathology, Humans, Minimally Invasive Surgical Procedures/methods, Tissue Adhesions/pathology, Treatment Outcome",
author = "B Hohendorff and J Franke and Spies, {C K} and F Unglaub and M{\"u}ller, {L P} and C Ries",
year = "2017",
month = apr,
doi = "10.1007/s00132-017-3387-5",
language = "Deutsch",
volume = "46",
pages = "328--335",
journal = "ORTHOPADE",
issn = "0085-4530",
publisher = "Springer",
number = "4",

}

RIS

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 -