Treatment of Recurrent Dupuytren Disease
| Autor: | Frederick Thomas D. Kaplan, Nicholas E. Crosby |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Dermofasciectomy Percutaneous External Fixators Dupuytren disease Injections Intralesional 030230 surgery Surgical Flaps 03 medical and health sciences 0302 clinical medicine Collagenase clostridium histolyticum Recurrence Preoperative Care Secondary Prevention medicine Recurrent disease Humans Orthopedic Procedures Orthopedics and Sports Medicine In patient Postoperative Care Salvage Therapy 030222 orthopedics business.industry Optimal treatment Neurovascular bundle Fasciotomy Surgery Dupuytren Contracture Microbial Collagenase Aponeurosis Needles Clostridium histolyticum business medicine.drug |
| Zdroj: | Hand Clinics. 34:403-415 |
| ISSN: | 0749-0712 |
| DOI: | 10.1016/j.hcl.2018.03.009 |
| Popis: | Treatment of recurrent Dupuytren disease is challenging. Multiple options exist, each having relative benefits and weaknesses. Choice for optimal treatment is made on a case-by-case basis, with shared decision making with the patient. Percutaneous and enzymatic techniques are best reserved for patients with well-defined recurrent disease and offer the benefit of quicker recovery with minimal or no scarring. Surgical treatments have higher risks of neurovascular injury and scarring, but lower recurrence rates. Staged continuous passive elongation followed by dermofasciectomy may lower neurovascular injury and improve outcomes. Salvage procedures may be necessary in patients with poor tissue beds and neurovascular compromise. |
| Databáze: | OpenAIRE |
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