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Operative Behandlung der Dupuytren-Beugekontraktur: Arthrolyse des Fingermittelgelenks

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 proxim...

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Hauptverfasser: Hohendorff, Bernd (VerfasserIn) , Unglaub, Frank (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Deutsch
Veröffentlicht: 7. Februar 2017
In: Der Orthopäde
Year: 2017, Jahrgang: 46, Heft: 4, Pages: 328-335
ISSN:1433-0431
DOI:10.1007/s00132-017-3387-5
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1007/s00132-017-3387-5
Verlag, Volltext: https://doi.org/10.1007/s00132-017-3387-5
Volltext
Verfasserangaben:B. Hohendorff, J. Franke, C.K. Spies, F. Unglaub, L.P. Müller, C. Ries
Beschreibung
Zusammenfassung: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.
Beschreibung:Gesehen am 11.10.2018
Beschreibung:Online Resource
ISSN:1433-0431
DOI:10.1007/s00132-017-3387-5

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