Universität zu Köln

Hohendorff, B., Franke, J., Spies, C. K., Unglaub, F., Mueller, L. P. and Ries, C. (2017). Operative treatment of Dupuytren's contracture.Arthrolysis of the proximal interphalangeal finger joint. Orthopade, 46 (4). S. 328 - 336. NEW YORK: SPRINGER. ISSN 1433-0431

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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. Conclusion. 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hohendorff, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Franke, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ries, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-235216
DOI:	10.1007/s00132-017-3387-5
Journal or Publication Title:	Orthopade
Volume:	46
Number:	4
Page Range:	S. 328 - 336
Date:	2017
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0431
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CAPSULOLIGAMENTOUS RELEASE; SUPPLEMENTARY ARTHROLYSIS; SEVERE CONTRACTURES; FLEXOR SHEATH; DISEASE Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/23521