SEVERE CONTRACTURES OF THE PROXIMAL INTERPHALANGEAL JOINT IN DUPUYTRENS DISEASE - RESULTS OF A PROSPECTIVE TRIAL OF OPERATIVE CORRECTION AND DYNAMIC EXTENSION SPLINTING

被引：39

作者：

RIVES, K ^{[1
]}

GELBERMAN, R ^{[1
]}

SMITH, B ^{[1
]}

CARNEY, K ^{[1
]}

机构：

[1] MASSACHUSETTS GEN HOSP,DEPT ORTHOPAED SURG,WACC-527,BOSTON,MA 02114

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 06期

关键词：

D O I：

10.1016/S0363-5023(09)91084-X

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

In a prospective study, 23 proximal interphalangeal joints that were severely contracted (greater-than-or-equal-to 45 degrees) as a result of Dupuytren's disease underwent operative correction and 6 months of dynamic extension splinting. Proximal interphalangeal joint extension was measured preoperatively and postoperatively at 3-month intervals for 1 year and at 6-month intervals thereafter. Mean follow-up was 2 years (minimum, 1 year). Overall, at 2 years, 44% improvement in proximal interphalangeal joint extension was noted. Mean improvement of 59% in proximal interphalangeal joint extension was noted in patients who complied with the postoperative dynamic extension splinting program. Patients who were noncomplaint demonstrated a 25% improvement in proximal interphalangeal joint extension. The difference in values between patients who were compliant and those who were not was statistically significant. Other factors-severity of contracture, digit involved, and the necessity for capsular release-were not significantly related to outcome. This study suggests that soft tissue responds to continuous dynamic extension stresses and can be remodeled over time.

引用

页码：1153 / 1159

页数：7

共 20 条

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