Complications of Treatment for Dupuytren Disease

被引：19

作者：

Eberlin, Kyle R. ^{[1
]}

Mudgal, Chaitanya S. ^{[2
]}

机构：

[1] Harvard Med Sch, Massachusetts Gen Hosp, Harvard Plast Surg Residency Program, 55 Fruit St, Boston, MA 02114 USA

[2] Harvard Med Sch, Massachusetts Gen Hosp, Yawkey Ctr, Hand Surg Serv,Dept Orthopaed, 55 Fruit St, Boston, MA 02114 USA

来源：

HAND CLINICS | 2018年 / 34卷 / 03期

关键词：

Dupuytren; Contracture; Complication; Nerve injury; Wound healing; COLLAGENASE CLOSTRIDIUM-HISTOLYTICUM; PERCUTANEOUS NEEDLE FASCIOTOMY; SHARED DECISION-MAKING; FOLLOW-UP; CONTRACTURE; RECURRENCE; APONEUROTOMY; FASCIECTOMY; MANAGEMENT; SURGERY;

D O I：

10.1016/j.hcl.2018.03.007

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：

Dupuytren contracture is a progressive disease involving collagen within the palmar fascia. When the contracture progresses to meet specific parameters, intervention is considered and includes collagenase injection, percutaneous or open fasciotomy, or palmar fasciectomy. Complications after treatment include contracture recurrence, digital nerve injury or postoperative neurapraxia, flexor tendon injury/rupture, delayed wound healing or skin necrosis, dysvascular digit/arterial injury, hematoma, and infection. Patients with severe or recurrent Dupuytren contracture are more likely to experience complications. Patient education is paramount; one must consider the patient's goals for treatment, functional requirements, time frame for recovery, and tolerance for complications when deciding about treatment.

引用

页码：387 / +

页数：9

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