SciELO - Scientific Electronic Library Online

 
vol.48 issue6Treatment of chronic plantar fasciitis with extra corporeal shock wave therapy: ultrasonographic morphological aspect and functional evaluationThe WHO Surgical Safety Checklist: knowledge and use by Brazilian orthopedists author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Revista Brasileira de Ortopedia

Print version ISSN 0102-3616

Abstract

RIBAK, Samuel et al. Dupuytren contracture: comparative study between partial fasciectomy and percutaneous fasciectomy. Rev. bras. ortop. [online]. 2013, vol.48, n.6, pp.545-553. ISSN 0102-3616.  http://dx.doi.org/10.1016/j.rboe.2013.12.021.

Objectives:

To compare the clinical results obtained by using the techniques of open limited fasciectomy (FP) and percutaneous needle fasciectomy (FPC) in patients with Dupuytren's contracture after one year follow up.

Methods:

Thirty-three patients and a total of 50 fingers with Dupuytren's contracture were divided non-randomly and evaluated after undergoing procedures with FP or FPC. The results were evaluated based on the Tubiana classification, DASH score (Disabilities of the Arm, Shoulder, and Hand), time until return to professional activities, total passive extension deficit (DTEP), the relationship between the extension deficit and DASH, recurrence and complications.

Results:

Twenty-six fingers were treated with FPC technique and 24 fingers with FP. The DTEP was significantly lower in FP group (10.23º ) when compared to FPC group (23.46º) at 12 months postoperatively (p = 0.038). The remaining items assessed did not show any statistically significant differences.

Conclusion:

Total passive extension deficit at 12 months is lower in the group of open limited fasciectomy. There are no significant differences between groups FP and FPC over the classification of Tubiana, the DASH score, time until return to professional activities and the incidence of recurrence.

Keywords : Dupuytren contracture; Surgical procedures, operative; Comparative study.

        · abstract in Portuguese     · text in English | Portuguese     · English ( pdf ) | Portuguese ( pdf )