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: | , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Deutsch |
| Veröffentlicht: |
7. Februar 2017
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| 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 
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| Verfasserangaben: | B. Hohendorff, J. Franke, C.K. Spies, F. Unglaub, L.P. Müller, C. Ries |
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| 245 | 1 | 0 | |a Operative Behandlung der Dupuytren-Beugekontraktur |b Arthrolyse des Fingermittelgelenks |c B. Hohendorff, J. Franke, C.K. Spies, F. Unglaub, L.P. Müller, C. Ries |
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| 520 | |a 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. | ||
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