Dupuytren’s disease: limited fasciectomy, night splinting, and hand exercises—long-term results
| Autor: | Iraklis Giannaros, Paraskevi Karamitsou, Panagiotis Givissis, Dimitrios Kitridis, Chris Sinopidis, Nikolaos Papadakis |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Night splinting 030230 surgery 03 medical and health sciences Grip strength 0302 clinical medicine Recurrence Hand exercises medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Dupuytren's contracture Aged 030222 orthopedics Hand Strength business.industry Gold standard Long term results Middle Aged medicine.disease Combined Modality Therapy Exercise Therapy Fasciotomy Surgery Dupuytren Contracture body regions Treatment Outcome Splints Patient Compliance Female Contracture medicine.symptom Splint (medicine) business Follow-Up Studies |
| Zdroj: | European Journal of Orthopaedic Surgery & Traumatology. 29:349-355 |
| ISSN: | 1432-1068 1633-8065 |
| Popis: | Dupuytren’s contracture (DC) is a fibroproliferative disorder of palmar fascia that causes flexion contractures of one or more digits. There is currently no gold standard operative and postoperative protocol for reducing recurrence rates. We propose a combination of surgical intervention, night splinting, and home hand exercises as a treatment protocol. Thirty patients were included in our study, diagnosed with DC Tubiana grade II–IV. Our treatment protocol was limited fasciectomy followed by a 24-week night splint application, combined with home hand exercises for eight weeks. The outcomes were recurrence, QuickDASH score, extension or flexion deficit, and grip strength. The mean follow-up was 4.9 years (range 2–11 years). Recurrence of DC occurred in two patients (7%), who had discontinued the use of the splint within two months postoperatively. All other patients had complied with the postoperative protocol. The mean QuickDASH score improved from 61.5 (SD 2.1) to 8.6 (SD 2) postoperatively (p |
| Databáze: | OpenAIRE |
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