The consequences of different definitions for recurrence of Dupuytren's disease

Kan, Hester J.; Verrijp, Frank W.; Huisstede, Bionka M. A.; Hovius, Steven E.R.; Nieuwenhoven, Christianne A. van; Selles, Ruud W.

doi:10.1016/j.bjps.2012.08.019

Cited by 48 publications

(37 citation statements)

References 19 publications

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“…However, it must be appreciated that the patient is unlikely to be able to distinguish between true recurrence (ie, the disease returning at the site of the previous treatment) and extension (disease appearing away from the site of treatment). 13 We did not find that early complications such as bruising and skin tearing, albeit potentially alarming, affected later satisfaction (Table 1). This may reflect both the careful consent given to patients before injection whereby patients were clearly warned of these complications, and also the transient nature of these complications.…”

Section: Discussionmentioning

confidence: 81%

Patient Satisfaction With Collagenase

Bradley

Warwick

2016

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 81%

Patient Satisfaction With Collagenase

Bradley

Warwick

2016

The Journal of Hand Surgery

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“…The authors have reviewed the different definitions used for recurrence of DD and conducted a Delphi study among experts to acquire a broad supported definition of recurrence in DD. 25 The most striking difference, however, was in the satisfaction and the convalescence rate; on the average, patients who had undergone PALF were able to return to normal use of the hand within 9 days compared with 17 days for the LFtreated patients. Furthermore, the authors were able to release the tightest contractures without recourse to flaps or grafts.…”

Section: Discussionmentioning

confidence: 94%

Percutaneous Aponeurotomy and Lipofilling (PALF)

Hovius¹,

Kan²,

Verhoekx³

et al. 2015

Clinics in Plastic Surgery

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“…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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The consequences of different definitions for recurrence of Dupuytren's disease

Cited by 48 publications

References 19 publications

Patient Satisfaction With Collagenase

Patient Satisfaction With Collagenase

Percutaneous Aponeurotomy and Lipofilling (PALF)

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

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