Arthrodesis of the proximal interphalangeal joint of the 4th and 5th finger using an interlocking screw device to treat severe recurrence of Dupuytren's disease

Novoa-Parra, C.D.; Alonso, Daniel Montaner; Pérez-Correa, J.I.; Morales-Rodríguez, J.; Rodrigo-Pérez, J.L.; Morales-Suárez-Varela, María

doi:10.1016/j.recote.2018.03.002

Cited by 6 publications

(34 citation statements)

References 14 publications

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“…There were 2 studies 15 , 20 that documented mean pain via the Visual Analogue Scale (VAS), which ranged from 1.8 to 2.6, on a 10-point scale, postoperatively. Satisfaction was recorded in 2 studies 15 , 17 using VAS and in 4 studies 18 , 20 - 22 qualitatively. Using VAS, the mean and median satisfaction scores reported were 6.3 and 8, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…15,17 Qualitatively, the rate of satisfaction ranged from 56% to 100%. 18,[20][21][22] A mean QuickDASH score of 16.5 was reported in 1 study. 15 Other studies reported DASH scores where a score of 0 shows no disability and a score of 100 complete disability, as median 17 (33) or mean 18,20,22 (range from 15 to <35.04).…”

Section: Qualitative Outcomesmentioning

confidence: 93%

“…18,[20][21][22] A mean QuickDASH score of 16.5 was reported in 1 study. 15 Other studies reported DASH scores where a score of 0 shows no disability and a score of 100 complete disability, as median 17 (33) or mean 18,20,22 (range from 15 to <35.04). Qualitative outcomes are listed in Table 3.…”

Section: Qualitative Outcomesmentioning

confidence: 93%

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Outcomes of Management of Recurrent Dupuytren Contracture: A Systematic Review and Meta-analysis

Wong

Huynh

Fageeh

et al. 2021

Hand (New York, N,Y.)

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Background: With numerous treatment modalities available, it is unclear whether the treatment of recurrent Dupuytren disease is as effective as its initial treatment. We aimed to investigate the outcomes of management of recurrent Dupuytren contracture. Methods: Adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, MEDLINE, Embase, PubMed, CINAHL, and Cochrane Central Register of Controlled Trials were searched from their inception to April 2020. Studies of patients aged above 18 years undergoing treatment for recurrent Dupuytren contractures were included. The Risk Of Bias In Non-randomized Studies-of Interventions tool was used for quality assessment. The study was registered with Open Science Foundation. Results: A systematic review identified 12 studies: 311 patients with 224 affected digits—index (n = 5; 2.2%), long (n = 17; 7.6%), ring (n = 57; 25.4%), small (n = 112; 50%), and unspecified (n = 33; 14.7%); of these, there were 76 metacarpophalangeal joints (MCPJ; 45.5%), 90 proximal phalangeal joints (PIPJ; 53.9%), and 1 distal interphalangeal joint (0.6%). Previous treatment included the following: percutaneous needle aponeurotomy (n = 103 of 311 patients; 33.1%), collagenase clostridium histolyticum-injection (CCH; n = 75 of 311; 24.1%), limited fasciectomy (LF) ± skin graft (n = 83 of 311; 26.7%), fasciotomy (n = 1 of 311; 0.3%), and unspecified (n = 64 of 311; 20.6%). Recurrence was treated by percutaneous needle aponeurotomy (n = 68 of 311 patients; 21.9%); CCH injection (n = 53 of 311; 17.0%); aponeurotomy or dermofasciectomy or LF (n = 176 of 311; 56.6%); ray/digit amputation (n = 8 of 311; 2.6%); and PIPJ arthrodesis (n = 6 of 293; 2.0%). Range of motion was improved by 23.31° (95% confidence interval [CI] = 13.13°-33.50°; I2 = 67%; P = .05) and 15.49° (95% CI = 2.67°-28.31°; I2 = 76%; P = .01) for MCPJ and PIPJ, respectively. Conclusions: There is low level of evidence that both surgical and nonsurgical treatments provide clinically important improvements for recurrent Dupuytren contracture.

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Section: Resultsmentioning

confidence: 99%

Section: Qualitative Outcomesmentioning

confidence: 93%

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Outcomes of Management of Recurrent Dupuytren Contracture: A Systematic Review and Meta-analysis

Wong

Huynh

Fageeh

et al. 2021

Hand (New York, N,Y.)

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“…Nevertheless, in the studies included in this systematic review, there is a trend towards techniques with compression over the course of time, especially towards compression screws (41,42). With further development of the implants, the diameter of the screws got progressively smaller, as 8 mm diameter screws are commercially available now.…”

Section: Figurementioning

confidence: 99%

“…Newer implants like the Apex IP fusion device so far lack any evidence that they are easier to implant or provide a better outcome, maybe because they have not been available in the market long enough (42).…”

Section: Figurementioning

confidence: 99%

Arthrodesis of the proximal interphalangeal joint of the finger – a systematic review

et al. 2022

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Arthrodesis of the proximal interphalangeal (PIP) joint of the finger is an established procedure for advanced osteoarthritis. As there are different techniques of fusion, it seems necessary to evaluate the results. Primary outcome of this review was to evaluate different arthrodesis methods of the PIP joint and describe different numbers of non-unions. Secondary outcome was to evaluate time to consolidation. Respective complications, if mentioned, were listed additionally. The review process was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The selected databases were PubMed, Medline, Embase, Google Scholar and Cochrane Library. Studies reporting outcomes of the arthrodesis with a defined technique and radiological consolidation were included. Complication rates and types were recorded. In total, 6162 articles could be identified, 159 full-texts were assessed and 64 studies were included. Methodological quality was assessed using Methodological Index for Non-Randomized Studies. A total of 1923 arthrodeses of the PIP joint could be identified. Twelve different surgical techniques were described, four of these techniques with compression at the arthrodesis site. The most frequently used techniques were K-wires (n = 743, 14 studies), tension-band (n = 313, 15 studies) and compression screws (n = 233, 12 studies). The lowest rate of described non-unions in compression techniques was 3.9% with the compression screw. The highest non-union rate of 8.6% was achieved by interosseous wiring. All the described techniques can achieve the goal of fusing an osteoarthritic joint. There is a tendency in the more recent literature for the use of compression techniques.

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Artrodesis de articulación interfalángica proximal en enfermedad de Dupuytren: Una revisión sistemática cualitativa

García

González

et al. 2022

Revista Iberoamericana de Cirugía de la Mano

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Resumen Introducción La enfermedad de Dupuytren (ED) se caracteriza por una alta tendencia a la recidiva. Las reintervenciones asocian elevado riesgo de complicaciones, incrementado tras cada cirugía. En contracturas graves y recidivantes, con insuficiencia vascular o mala calidad tisular, nuevas fasciectomías pueden estar contraindicadas por el riesgo de comprometer gravemente la viabilidad cutánea. En estos casos, artrodesar la articulación interfalángica proximal (IFP) es una alternativa a la amputación. La artrodesis también es una alternativa en aquellas contracturas que asocien artrosis o artrofibrosis de la articulación IFP. El limitado conocimiento sobre esta intervención se justifica por su escasa frecuencia. Realizamos una revisión sistemática cualitativa de resultados y complicaciones de artrodesis de la articulación IFP del segundo al quinto dedos en adultos con ED. Materiales y Métodos Según la declaración de los Ítems Preferidos de Reporte para Revisiones Sistemáticas y Metanálisis (Preferred Reporting Items for Systematic Reviews and Meta-Analyses, PRISMA, en inglés), desarrollamos una búsqueda en las bases de datos PubMed, Embase y Cochrane Library. Evaluamos el riesgo de sesgo mediante la Escala de Newcastle-Ottawa modificada. Junto a variables intra y preoperatorias y complicaciones, se registró las mejorías funcional y del dolor, y el grado de satisfacción. Resultados Para esta revisión sistemática, se seleccionaron 4 series de casos, con 65 pacientes y 71 artrodesis. No evidenciamos mejorías significativas en términos de dolor o funcionalidad, pero sí un alto grado de satisfacción en todos los estudios. El 11,3% de las complicaciones incluyó una necrosis cutánea, pero ninguna lesión vascular o nerviosa. Conclusión Pese a no demostrar mejoría en dolor o funcionalidad, este procedimiento asocia alto grado de satisfacción y muy baja tasa de afectación cutánea o de lesiones vasculares o nerviosas. El nivel de evidencia sobre resultados y complicaciones es bajo.

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Arthrodesis of the proximal interphalangeal joint of the 4th and 5th finger using an interlocking screw device to treat severe recurrence of Dupuytren's disease

Cited by 6 publications

References 14 publications

Outcomes of Management of Recurrent Dupuytren Contracture: A Systematic Review and Meta-analysis

Outcomes of Management of Recurrent Dupuytren Contracture: A Systematic Review and Meta-analysis

Arthrodesis of the proximal interphalangeal joint of the finger – a systematic review

Artrodesis de articulación interfalángica proximal en enfermedad de Dupuytren: Una revisión sistemática cualitativa

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