Tags

Type your tag names separated by a space and hit enter

[Operative treatment of Dupuytren's contracture : Arthrolysis of the proximal interphalangeal finger joint].
Orthopade. 2017 Apr; 46(4):328-335.O

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.

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?

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.

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.

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.

Authors+Show Affiliations

Abteilung für Hand-, Ästhetische und Plastische Chirurgie, Elbe Klinikum Stade, Bremervörder Straβe 111, 21682, Stade, Deutschland. bernd.hohendorff@hotmail.com.Klinik für Unfallchirurgie und Orthopädie, Elbe Klinikum Stade, Stade, Deutschland.Handchirurgie, Vulpius Klinik, Bad Rappenau, Deutschland.Handchirurgie, Vulpius Klinik, Bad Rappenau, Deutschland.Unfall-, Hand- und Ellenbogenchirurgie, Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum zu Köln, Köln, Deutschland.Unfall-, Hand- und Ellenbogenchirurgie, Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum zu Köln, Köln, Deutschland.

Pub Type(s)

Journal Article
Review

Language

ger

PubMed ID

28175957

Citation

Hohendorff, B, et al. "[Operative Treatment of Dupuytren's Contracture : Arthrolysis of the Proximal Interphalangeal Finger Joint]." Der Orthopade, vol. 46, no. 4, 2017, pp. 328-335.
Hohendorff B, Franke J, Spies CK, et al. [Operative treatment of Dupuytren's contracture : Arthrolysis of the proximal interphalangeal finger joint]. Orthopade. 2017;46(4):328-335.
Hohendorff, B., Franke, J., Spies, C. K., Unglaub, F., Müller, L. P., & Ries, C. (2017). [Operative treatment of Dupuytren's contracture : Arthrolysis of the proximal interphalangeal finger joint]. Der Orthopade, 46(4), 328-335. https://doi.org/10.1007/s00132-017-3387-5
Hohendorff B, et al. [Operative Treatment of Dupuytren's Contracture : Arthrolysis of the Proximal Interphalangeal Finger Joint]. Orthopade. 2017;46(4):328-335. PubMed PMID: 28175957.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Operative treatment of Dupuytren's contracture : Arthrolysis of the proximal interphalangeal finger joint]. AU - Hohendorff,B, AU - Franke,J, AU - Spies,C K, AU - Unglaub,F, AU - Müller,L P, AU - Ries,C, PY - 2017/2/9/pubmed PY - 2017/11/29/medline PY - 2017/2/9/entrez KW - Arthrolysis KW - Capsuloligamentous release KW - Dupuytren’s disease KW - Hand KW - Proximal interphalangeal finger joint SP - 328 EP - 335 JF - Der Orthopade JO - Orthopade VL - 46 IS - 4 N2 - 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. 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? 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. 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. 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. SN - 1433-0431 UR - https://www.unboundmedicine.com/medline/citation/28175957/[Operative_treatment_of_Dupuytren's_contracture_:_Arthrolysis_of_the_proximal_interphalangeal_finger_joint]_ L2 - https://dx.doi.org/10.1007/s00132-017-3387-5 DB - PRIME DP - Unbound Medicine ER -