Correction of Contracture and Recurrence Rates of Dupuytren Contracture Following Invasive Treatment: The Importance of Clear Definitions

Werker, Paul M. N.; Pess, Gary M.; Rijssen, Annet L. van; Denkler, Keith

doi:10.1016/j.jhsa.2012.06.032

Cited by 103 publications

(57 citation statements)

References 176 publications

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“…Reported recurrence rates range from 12% to 73% for fasciectomy/aponeurectomy and from 33% to 100% for open or needle fasciotomy/ aponeurotomy. 4 Major causes for this wide variation are the lack of clarity in descriptions and/or wide variability in definitions of recurrence, making comparisons among studies difficult. 5 In addition, the studies reported in review articles span many decades, many different surgical techniques, and many rehabilitation protocols.…”

mentioning

confidence: 99%

Dupuytren Contracture Recurrence Following Treatment With Collagenase Clostridium Histolyticum (CORDLESS [Collagenase Option for Reduction of Dupuytren Long-Term Evaluation of Safety Study]): 5-Year Data

Peimer

Blazar

Coleman

et al. 2015

The Journal of Hand Surgery

194

138

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mentioning

confidence: 99%

Dupuytren Contracture Recurrence Following Treatment With Collagenase Clostridium Histolyticum (CORDLESS [Collagenase Option for Reduction of Dupuytren Long-Term Evaluation of Safety Study]): 5-Year Data

Peimer

Blazar

Coleman

et al. 2015

The Journal of Hand Surgery

194

138

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“…This wide range can be explained by the lack of a common definition of recurrence, with definitions ranging from recurrence of palpable disease to recurrence of the previous level of contraction. 24 Radical fasciectomy, where all the normal fascia is excised in addition to the diseased fascia, has fallen out of favour because it requires more extensive incisions and longer recovery times, without resulting in a decrease in recurrence. 25 Dermofasciectomy involves the excision of the affected skin as well as the underlying diseased fascia.…”

Section: Long Answermentioning

confidence: 99%

A hand flexion contracture with progression

McInerney

O’Shaughnessy

Clover

2014

BMJ

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“…A common treatment is surgical fasciectomy, but non-surgical treatment options exist. The treatment does not cure the disease, and recurrence is common (2,3). Possible adverse effects of surgery are vascular or nerve damage, delayed wound healing, scar problems, infection, swelling, complex regional pain syndrome, and loss of finger flexion (4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

“…Previous research has focused on outcomes related to surgical techniques, decrease of extension deficit, or disease recurrence (3,(10)(11)(12) and show larger improvement of the extension deficit in the metacarpophalangeal (MCP) joint than in the proximal interphalangeal (PIP) joint (10). Further, a more severe degree of contracture before surgery or contracture of the PIP joint has been associated with residual contracture after surgery (10,13,14).…”

Section: Introductionmentioning

confidence: 99%

Hand Function and Quality of Life Before and After Fasciectomy for Dupuytren Contracture

Engstrand¹,

Krevers²,

Nylander³

et al. 2014

The Journal of Hand Surgery

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PurposeTo describe changes in joint motion, sensibility, and scar pliability and to investigate the patients' expectations, self-reported recovery, and satisfaction with hand function, disability, and quality of life after surgery and hand therapy for Dupuytren disease. MethodsThis prospective cohort study collected measurements before surgery and 3, 6, and 12 months after surgery and hand therapy. Ninety patients with total active extension deficits of 60 degrees or more from Dupuytren contracture were included. Outcomes measures were range of motion, sensibility, scar pliability, self-reported outcomes on expectations, recovery, and satisfaction with hand function, Disabilities of the Arm, Shoulder, and Hand scores, safety and social issues of hand function, physical activity habits, and quality of life with the Euroqol. ResultsThe extension deficit decreased, and there was a transient decrease in active finger flexion during the first year after surgery. Sensibility remained unaffected. Generally, patients with surgery on multiple fingers had worse scar pliability. The majority of the patients had their expectations met, and at 6 months 32% considered hand function as fully recovered, and 73%were satisfied with their hand function. Fear of hurting the hand and worry about not trusting the hand function were of greatest concern among safety and social issues. The Disability of the Arm, Shoulder and Hand score and the Euroqol improved over time. 2 ConclusionAfter surgery and hand therapy, disability decreased independent of single or multiple operated fingers. The total active finger extension improved enough for the patients to reach a functional range of motion despite an impairment of active finger flexion still present 12 months after treatment.

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Correction of Contracture and Recurrence Rates of Dupuytren Contracture Following Invasive Treatment: The Importance of Clear Definitions

Cited by 103 publications

References 176 publications

Dupuytren Contracture Recurrence Following Treatment With Collagenase Clostridium Histolyticum (CORDLESS [Collagenase Option for Reduction of Dupuytren Long-Term Evaluation of Safety Study]): 5-Year Data

Dupuytren Contracture Recurrence Following Treatment With Collagenase Clostridium Histolyticum (CORDLESS [Collagenase Option for Reduction of Dupuytren Long-Term Evaluation of Safety Study]): 5-Year Data

A hand flexion contracture with progression

Hand Function and Quality of Life Before and After Fasciectomy for Dupuytren Contracture

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