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Improved postoperative outcome of segmental fasciectomy in Dupuytren disease by insertion of an absorbable cellulose implant
- Source :
- Journal of Plastic Surgery and Hand Surgery. 45:157-164
- Publication Year :
- 2011
- Publisher :
- Informa UK Limited, 2011.
-
Abstract
- In this case-control prospective study, we investigated if we could improve the surgical outcome of interrupting strands in Dupuytren disease by creating a blocking effect with an absorbable cellulose implant, a known absorbable adhesion barrier. We studied 33 operations in 29 patients who had the potential for recurrent disease. The cellulose was implanted in the first 15 patients. An intraindividual control was added in 4 patients, who were given the implant in 1 of 2 operated hands. Goniometric evolution was monitored on digital photography, and satisfaction was measured on a visual analogue scale (VAS) with a preliminary one year follow-up. With the implant the postoperative range of movement improved significantly (by 33%) and remained unchanged after three months to a one year follow-up. The VAS for satisfaction also improved. We conclude that cellulose implants may improve the outcome of segmental fasciectomy in Dupuytren disease by achieving a better extension of fingers and a higher patients' satisfaction.
- Subjects :
- Male
medicine.medical_specialty
Visual analogue scale
medicine.medical_treatment
Severity of Illness Index
Statistics, Nonparametric
Fasciotomy
Absorbable Implants
Humans
Medicine
Cellulose, Oxidized
Orthopedic Procedures
Absorbable Cellulose
Prospective Studies
Range of Motion, Articular
Prospective cohort study
Aged
Pain Measurement
Aged, 80 and over
Postoperative Care
Hand Strength
business.industry
Recovery of Function
Adhesion barrier
Middle Aged
Surgery
Dupuytren Contracture
Treatment Outcome
Case-Control Studies
Female
Implant
business
Range of motion
Follow-Up Studies
Subjects
Details
- ISSN :
- 20006764 and 2000656X
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Journal of Plastic Surgery and Hand Surgery
- Accession number :
- edsair.doi.dedup.....30f3b914210b5ba9a5b0b8d1681fd896