Dupuytren contracture: comparative study between partial fasciectomy and percutaneous fasciectomy
Objectives: To compare the clinical results obtained by using the techniques of open limited fasciectomy (FP) and percutaneous needle fasciectomy (FPC) in patients with Dupuytren's contracture after one year follow up. Methods: Thirty-three patients and a total of 50 fingers with Dupuytren...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2013-12-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000600545&lng=en&tlng=en |
| _version_ | 1797225653198651392 |
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| author | Samuel Ribak Ronaldo Borkowski Jr. Rodrigo Pereira do Amaral Alfred Massato Iliada Avila Dirceu de Andrade |
| author_facet | Samuel Ribak Ronaldo Borkowski Jr. Rodrigo Pereira do Amaral Alfred Massato Iliada Avila Dirceu de Andrade |
| author_sort | Samuel Ribak |
| collection | DOAJ |
| description | Objectives: To compare the clinical results obtained by using the techniques of open limited fasciectomy (FP) and percutaneous needle fasciectomy (FPC) in patients with Dupuytren's contracture after one year follow up. Methods: Thirty-three patients and a total of 50 fingers with Dupuytren's contracture were divided non-randomly and evaluated after undergoing procedures with FP or FPC. The results were evaluated based on the Tubiana classification, DASH score (Disabilities of the Arm, Shoulder, and Hand), time until return to professional activities, total passive extension deficit (DTEP), the relationship between the extension deficit and DASH, recurrence and complications. Results: Twenty-six fingers were treated with FPC technique and 24 fingers with FP. The DTEP was significantly lower in FP group (10.23º ) when compared to FPC group (23.46º) at 12 months postoperatively (p = 0.038). The remaining items assessed did not show any statistically significant differences. Conclusion: Total passive extension deficit at 12 months is lower in the group of open limited fasciectomy. There are no significant differences between groups FP and FPC over the classification of Tubiana, the DASH score, time until return to professional activities and the incidence of recurrence. |
| first_indexed | 2024-03-08T07:35:43Z |
| format | Article |
| id | doaj.art-ebfb448c0fb644ffb74a2a95ee0afb59 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:12:26Z |
| publishDate | 2013-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-ebfb448c0fb644ffb74a2a95ee0afb592024-04-03T08:59:55ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782013-12-0148654555310.1016/j.rboe.2013.12.021S0102-36162013000600545Dupuytren contracture: comparative study between partial fasciectomy and percutaneous fasciectomySamuel RibakRonaldo Borkowski Jr.Rodrigo Pereira do AmaralAlfred MassatoIliada AvilaDirceu de AndradeObjectives: To compare the clinical results obtained by using the techniques of open limited fasciectomy (FP) and percutaneous needle fasciectomy (FPC) in patients with Dupuytren's contracture after one year follow up. Methods: Thirty-three patients and a total of 50 fingers with Dupuytren's contracture were divided non-randomly and evaluated after undergoing procedures with FP or FPC. The results were evaluated based on the Tubiana classification, DASH score (Disabilities of the Arm, Shoulder, and Hand), time until return to professional activities, total passive extension deficit (DTEP), the relationship between the extension deficit and DASH, recurrence and complications. Results: Twenty-six fingers were treated with FPC technique and 24 fingers with FP. The DTEP was significantly lower in FP group (10.23º ) when compared to FPC group (23.46º) at 12 months postoperatively (p = 0.038). The remaining items assessed did not show any statistically significant differences. Conclusion: Total passive extension deficit at 12 months is lower in the group of open limited fasciectomy. There are no significant differences between groups FP and FPC over the classification of Tubiana, the DASH score, time until return to professional activities and the incidence of recurrence.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000600545&lng=en&tlng=enContratura de DupuytrenProcedimentos cirurgicos operatoriosEstudo comparativo |
| spellingShingle | Samuel Ribak Ronaldo Borkowski Jr. Rodrigo Pereira do Amaral Alfred Massato Iliada Avila Dirceu de Andrade Dupuytren contracture: comparative study between partial fasciectomy and percutaneous fasciectomy Revista Brasileira de Ortopedia Contratura de Dupuytren Procedimentos cirurgicos operatorios Estudo comparativo |
| title | Dupuytren contracture: comparative study between partial fasciectomy and percutaneous fasciectomy |
| title_full | Dupuytren contracture: comparative study between partial fasciectomy and percutaneous fasciectomy |
| title_fullStr | Dupuytren contracture: comparative study between partial fasciectomy and percutaneous fasciectomy |
| title_full_unstemmed | Dupuytren contracture: comparative study between partial fasciectomy and percutaneous fasciectomy |
| title_short | Dupuytren contracture: comparative study between partial fasciectomy and percutaneous fasciectomy |
| title_sort | dupuytren contracture comparative study between partial fasciectomy and percutaneous fasciectomy |
| topic | Contratura de Dupuytren Procedimentos cirurgicos operatorios Estudo comparativo |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000600545&lng=en&tlng=en |
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