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[Operative treatment of Dupuytren's contracture : Arthrolysis of the proximal interphalangeal finger joint].
- Source :
-
Der Orthopade [Orthopade] 2017 Apr; Vol. 46 (4), pp. 328-335. - Publication Year :
- 2017
-
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.<br />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?<br />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.<br />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.<br />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.
Details
- Language :
- German
- ISSN :
- 1433-0431
- Volume :
- 46
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Der Orthopade
- Publication Type :
- Academic Journal
- Accession number :
- 28175957
- Full Text :
- https://doi.org/10.1007/s00132-017-3387-5