Management of severe Dupuytren's contracture of the proximal interphalangeal joint with use of a central slip facilitation device

The Journal of Hand Surgery, European Volume
J W WhiteD A McGrouther

Abstract

Thirty-eight fingers in 27 patients with Dupuytren's contracture of the proximal interphalangeal joint (PIPJ) in excess of 70° were treated using a staged technique. The first stage involved applying a mini external fixator across the PIPJ for continuous extension over 6 weeks with intensive hand therapy to maintain mobility of the joint and help correct the deformity. Twice weekly during hand therapy sessions the tension of the elastic band across the mini ex-fix was increased, allowing that full active flexion of the PIPJ against the elastic band could still be achieved. The second stage, 4 weeks after the external fixator was applied, involved an open palm technique of fasciectomy for the contracted cords restricting metacarpophalangeal joint movement and dermofasciectomy with full-thickness skin grafting over the proximal phalanx for bands restricting PIPJ movement. The external fixator was used to maintain active extension force until the graft healed. It was generally removed in the outpatient clinic under ring block 2 weeks after the second stage procedure. The patients were followed for a mean of 20.6 (6-48) months. The mean preoperative PIPJ deformity improved from 75° to 37° postoperatively. Overall, 69% of results we...Continue Reading

References

Sep 1, 1987·The Journal of Hand Surgery·L D Ketchum, F P Hixson
Jan 1, 1986·Annales De Chirurgie De La Main : Organe Officiel Des Sociétés De Chirurgie De La Main·R Tubiana
Aug 1, 1994·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A J BaileyA Messina
Aug 1, 1994·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G BrandesE Reale
Aug 1, 1994·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P D Hodgkinson
Jul 1, 1993·Plastic and Reconstructive Surgery·A Messina, J Messina
Dec 1, 1996·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A J Beard, I A Trail
Feb 14, 1998·The Journal of Bone and Joint Surgery. British Volume·N Citron, J C Messina
Oct 7, 2004·The Journal of Hand Surgery·Kingsley Paul Draviaraj, Indranil Chakrabarti

❮ Previous
Next ❯

Citations

Dec 18, 2012·Current Reviews in Musculoskeletal Medicine·Steven Lo, Mark Pickford
Jan 27, 2015·The Journal of Hand Surgery, European Volume·M A AkhavaniL Muir
Dec 28, 2016·Plastic and Reconstructive Surgery·Keith A DenklerScott L Hansen
Dec 10, 2015·The Cochrane Database of Systematic Reviews·Jeremy N RodriguesTim Davis
Nov 27, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Louis W CatalanoShobhit V Minhas
Nov 20, 2013·Orthopaedic Nursing·Mary C Kamienski
Apr 2, 2019·EFORT Open Reviews·Rita GrazinaRui Lemos
Feb 6, 2020·The Journal of Hand Surgery, European Volume·Marta KarpinskiAchilleas Thoma

❮ Previous
Next ❯

Methods Mentioned

BETA
amputation

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
M J WaltonR K Bhatia
© 2022 Meta ULC. All rights reserved