Operative Behandlung der Dupuytren-Beugekontraktur

• Verfasst von: Hohendorff, Bernd [VerfasserIn]
• Verfasst von: Unglaub, Frank [VerfasserIn]
• Titel: Operative Behandlung der Dupuytren-Beugekontraktur
• Titelzusatz: Arthrolyse des Fingermittelgelenks
• Verf.angabe: B. Hohendorff, J. Franke, C.K. Spies, F. Unglaub, L.P. Müller, C. Ries
• E-Jahr: 2017
• Jahr: 7. Februar 2017
• Umfang: 8 S.
• Fussnoten: Gesehen am 11.10.2018
• Titel Quelle: Enthalten in: Der Orthopäde
• Ort Quelle: Berlin : Springer, 1996
• Jahr Quelle: 2017
• Band/Heft Quelle: 46(2017), 4, Seite 328-335
• ISSN Quelle: 1433-0431
• DOI: doi:10.1007/s00132-017-3387-5
• Datenträger: Online-Ressource
• Sprache: ger
• Sach-SW: Arthrolyse
• Sach-SW: Arthrolysis
• Sach-SW: Capsuloligamentous release
• Sach-SW: Dupuytren-Erkrankung
• Sach-SW: Dupuytren’s disease
• Sach-SW: Fingermittelgelenk
• Sach-SW: Hand
• Sach-SW: Kapsel-Band-Lösung
• Sach-SW: Proximal interphalangeal finger joint
• K10plus-PPN: 1581766432

Abstract

Background: In the operative treatment of Dupuytren’s disease, in certain cases proximal interphalangeal joint flexion contracture remains after fasciectomy due to shrinkage, shortening, and/or adhesion of the periarticular structures. Objectives: How can a residual flexion contracture of the proximal interphalangeal joint after partial fasciectomy in Dupuytren’s disease be treated surgically and what follow-up results can be expected? Methods: Description of anatomy, indication, surgical technique of arthrolysis of the proximal interphalangeal joint, postoperative treatment, and critical analysis of the results reported in the literature. Results: Arthrolysis of the proximal interphalangeal joint is performed in up to six consecutive steps. An improvement of only about 50% compared to preoperative flexion contracture can be expected. Conclusions: Despite alleged unsatisfactory results arthrolysis of the proximal interphalangeal joint can be recommended in surgery of Dupuytren’s disease. In certain cases, patient cooperation during lengthy postoperative treatment is necessary.