Open palm technique for Dupuytren's disease
Identifieur interne : 000B36 ( France/Analysis ); précédent : 000B35; suivant : 000B37Open palm technique for Dupuytren's disease
Auteurs : G. Foucher [France] ; C. Cornil [France] ; E. Lenoble [France]Source :
- Annales de Chirurgie de la Main et du Membre superieur [ 1153-2424 ] ; 1992.
English descriptors
Abstract
One hundred and seven patients presenting 140 localizations of Dupuytren's disease were operated upon by a single surgeon before 1985, according to a modified Mac Cash procedure combining a Bruner approach and open transverse digital and/or palmar incisions. All surgery was performed under axillary block on an out-patient basis. A striking feature is the absence of complications such as haematoma, skin necrosis or infection. In the early post-operative follow-up (mean 105 days), the average angular improvement was of 79.5 % in all patients. Among the 107 patients, 54 (for a total of 67 localizations) were specifically reviewed with an average follow-up of 5.6 years. Improvement averaged 74 % in 83.5 % of digits. In the remaining 16.5 %, the lack of extension averaged 31°. Some factors had a negative effect on final results : early age of onset, major involvement of the PIP joint, localization at fifth ray level. The recurrence rate (41 %, 23 % of which severe) is identical to other reports on limited fasciectomy. A good indication is therefore a patient older than 50, and the method provided low postoperative morbidity and pain, associated with acceptable results.
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DOI: 10.1016/S0753-9053(05)80271-6
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ISTEX:92E85C3929E777C2F98C8C834501077A0D62B807Le document en format XML
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All surgery was performed under axillary block on an out-patient basis. A striking feature is the absence of complications such as haematoma, skin necrosis or infection. In the early post-operative follow-up (mean 105 days), the average angular improvement was of 79.5 % in all patients. Among the 107 patients, 54 (for a total of 67 localizations) were specifically reviewed with an average follow-up of 5.6 years. Improvement averaged 74 % in 83.5 % of digits. In the remaining 16.5 %, the lack of extension averaged 31°. Some factors had a negative effect on final results : early age of onset, major involvement of the PIP joint, localization at fifth ray level. The recurrence rate (41 %, 23 % of which severe) is identical to other reports on limited fasciectomy. A good indication is therefore a patient older than 50, and the method provided low postoperative morbidity and pain, associated with acceptable results.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Alsace</li><li>Alsace-Champagne-Ardenne-Lorraine</li></region><settlement><li>STRASBOURG</li></settlement></list><tree><country name="France"><region name="Alsace-Champagne-Ardenne-Lorraine"><name sortKey="Foucher, G" sort="Foucher, G" uniqKey="Foucher G" first="G." last="Foucher">G. Foucher</name></region><name sortKey="Cornil, C" sort="Cornil, C" uniqKey="Cornil C" first="C." last="Cornil">C. Cornil</name><name sortKey="Lenoble, E" sort="Lenoble, E" uniqKey="Lenoble E" first="E." last="Lenoble">E. Lenoble</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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