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2007 | 79 | 12 | 746-752
Tytuł artykułu

Early Results of Open Fasciotomy as a Treatment of Dupuytren's Disease in Elderly Patients

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The demand for treatment of Dupuytren's disease by a procedure of limited invasiveness and quick recovery is increasing in accordance with aging of the Polish population. Such a demand is fulfilled by different types of fasciotomy (open, percutaneous needle fasciotomy).The aim of the study was to asses the early results of the open fasciotomy in elderly patients.Material and methods. We treated 38 patients (61 fingers) whose mean age was 72 (SD 12) by open fasciotomy; 43 fingers presented stage III Tubiana contracture, 18 stage IV. The pre-operative total passive extension deficit was 123° (78° for stage III group, 111° for stage IV group). All the procedures were performed in outpatient setting. Patients used splint for 5 days, then performed finger - extension exercises and were encouraged to use their hands normally after 1 week.Results. The evaluation of the results was performed 4 weeks post-op. The greatest improvement in both of the groups was noted in MCP joint - 80% and in PIP joint - 48%, this difference is statistically significant. The general improvement ratio was 76%, greater in stage III group - 82% whereas in stage IV group 69%, but this difference was not statistically significant. All of the wounds healed up to 3 weeks, no complications were observed.Conclusion. The open fasciotomy is a recommendable short term treatment in patients of advanced age, suffering from stage III and stage IV of Dupuytren's disease.
Wydawca

Rocznik
Tom
79
Numer
12
Strony
746-752
Opis fizyczny
Daty
wydano
2007-12-01
online
2008-02-11
Twórcy
  • Subdepartment of Replantation of Limbs, St Hedwig's Hospital, Trzebnica
  • Subdepartment of Replantation of Limbs, St Hedwig's Hospital, Trzebnica
  • Subdepartment of Replantation of Limbs, St Hedwig's Hospital, Trzebnica
  • Subdepartment of Replantation of Limbs, St Hedwig's Hospital, Trzebnica
Bibliografia
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  • Nagay B, Deskur: Przykurcz Dupuytrena: etiopatogeneza - epidemiologia - klinika. Pol Przegl Chir 1992; 64(2): 128-34.
  • Nagay B: Two-stage operation. W: Dupuytren's disease-biology and treatment, RM McFerlane, DA Grouther, MH Flint (red), wyd. 1, Churchill Livingstone Edt. Edinburgh, London 1990: 337-40.
  • Jagieliński JW: Ocena wyników leczenia operacyjnego przykurczu Dupuytrena z uwzględnieniem obiektywnych i subiektywnych parametrów sprawności ręki. Praca doktorska, PAM, 2005.
  • Coville J: Dupuytren's contracture - the role of fasciotomy. The Hand 1983; 15: 162-66.
  • Lermusiaux JL, Debeyre N: Le traitement medical de la maladie de Dupuytren.W: Seze S, Ryckewaert A (red) L'Actualite Rhumatologique, Expansion Scientifique Francaise, Paris 1980, 338-43.
  • Norotte G, Apoil A, Travers V: Resultats a plus de 10 ans de maladie Dupuytren: a propos cinquante huit observation. Sem Hop Paris 1989; 65: 1045-48.
  • Borowiec K: Ocena wyników operacyjnego leczenia choroby Dupuytrena. Pol Przegl Chir 1992; 64(2): 141-45.
  • Leclerq C, Tubiana R: Resultat a long terme des aponeurectomies pour maladie de Dupuytren. Chirurgie 1986; 112: 194-97.
  • Dobrska E: Ocena skuteczności wybranych metod leczenia choroby Dupuytrena. Pol Przegl Chir 1992; 64(2): 135-40.
  • Tubiana R, Huston JT: Dupuytren's disease, Churchill Livingstone, wyd. 1, London 1974.
  • Nagay B: Przykurcz Dupuytrena. Wiad Lek 1970; 23: 1979-83.
  • Jedwabiński M, Grygiel M, Biliński P: Ocena wyników dwuetapowego leczenia operacyjnego zaawansowanego przykurczu Dupuytrena. Chir Narz Ruchu Ortp Pol 1996; 61(supl. 4 B): 241-44.
  • Bleton R, Mercireau D, Alnot J-Y: Treatment of Dupuytren's disease by percutaneous needle fasciotomy. W: Current practice in hand surgery. Saffar P, Amadio PC, Foucher G (red), Martin Dunitz, London 1997; 187-193.
  • McFerlane RM: Current status of Dupuytren's diseas. J Hand Surg (Am) 1983; 8(5): 703-08.[Crossref]
  • Skoog T: The transvers elements of the palmar aponeurosis in Dupuytren's contracture. Scand J Plast Surg 1967; 1: 51-53.
  • Rowley DI, Couch M, Chesney RB et al.: Assesment of subcutaneous fasciotomy in the management of Dupuytren's contracture. J Hand Surg (Br) 1984; 9: 163-66.[Crossref]
  • Shneider LH, Fankin, FM, Eisenberg T: Surgery of Dupuytren's Disease; A review of the open palm method. J Hand Surg (Am) 1991; 11: 23-27.
  • Moermans JP: Long term results after segmental fasciectomy for Dupuytren's disease. J Hand Surg [Br] 1996; 21: 797-800.[Crossref]
  • Messina A, Messina J: The TEC (Continous Extension Technique) for severe Dupuytren's contracture of the fingers. Plast Reconstr Surg 1991; 92: 84-89.
  • McCash RC: The open- palm technique in Dupuytren's contracture. Brit J Plast Surg 1964; 17: 271-74.[Crossref]
  • Foucher G, Cornil C, Lenoble E: Open palm technique for Dupuytren's diseas. A five year follow-up. Ann Chir Main Memb Sup 1992; 32: 362-66.[Crossref]
  • Rijsen AL, Gerbrandy FS, Ter Linden H et al.: A comparison of the direct outcomes of the needle fasciotomy and limited fasciectomy for Dupuytren disease: 6 weeks follow-up study. J Hand Surg [Am] 2006; 31(5): 717-25.
  • Bryan RA, Ghorbal MS: The long term results of closed palmar fasciotomy in management of Dupuytren's diseas. J Hand Surg (Br) 1988; 13: 254-56.[Crossref]
  • Wilbrandt S: The sex ratio and rate of reoperation for Dupuytren's contracture in men and women. J Hand Surg [Br] 1995; 24: 456-60.
  • Hueston J: Dupuytren's contracture. J Hand Surg (Br) 1993; 18(6): 806.[Crossref]
  • Kobus K, Wójcicki P, Dydymski T et al.: Evaluation of treatment results of patients with Dupuytren's contracture - our clinical experience. Ortop Traumatol Rehabil 2007; 9(2): 11-12.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-007-0116-5
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