Abstract
Introduction
In operative treatment of Dupuytren’s disease, in certain cases proximal interphalangeal joint (PIP) flexion contracture remains after fasciectomy which can be corrected by a supplementary arthrolysis, but few data comparing primary and revision surgery are available.
Materials and methods
Fifteen patients who had a fasciectomy and supplementary PIP arthrolysis at the affected finger for the first time were compared to 13 patients who had a revision fasciectomy with a supplementary PIP arthrolysis. Upon follow-up at 22 months, flexion contracture was measured and data were compared to the preoperative values. Patient satisfaction with the outcome of the operation was determined and patients completed the Disabilities of the Arm, Shoulder and Hand outcome measure questionnaire.
Results
Fingers of patients with Dupuytren’s disease that had a partial fasciectomy and supplementary arthrolysis of the PIP for the first time had a median residual PIP flexion contracture of 30° compared 39° of fingers that had a partial fasciectomy and supplementary arthrolysis of the PIP as a revision. The patients of both groups were equally satisfied with the outcome of the operation, while their DASH scores were nearly identical.
Conclusion
After a mean follow-up of 2 years, the outcome of recurrent PIP contracture is comparable in patients with Dupuytren’s disease that were treated by partial fasciectomy and supplementary arthrolysis for the first time and as a revision.
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Acknowledgments
We would like to thank Christopher Ritter, PhD for assistance with the manuscript and Ulrike von Hehn for statistical analysis.
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This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
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All named authors hereby declare that they have no conflicts of interest to disclose. The study was approved by the university’s ethics committee and conformed to the Declaration of Helsinki.
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Hohendorff, B., Spies, C.K., Müller, L.P. et al. Supplementary arthrolysis of the proximal interphalangeal finger joint in Dupuytren’s contracture: primary operation versus revision. Arch Orthop Trauma Surg 136, 435–439 (2016). https://doi.org/10.1007/s00402-015-2380-x
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DOI: https://doi.org/10.1007/s00402-015-2380-x