Evaluation of surgical treatment of Dupuytren's disease by
               modified open palm technique<sup>,</sup>

Guilhen, Thiago Almeida; Vieira, Ana Beatriz Macedo; Castro, Marcelo Claudiano de; Hirata, Helton Hiroshi; Machado, Itibagi Rocha

doi:10.1016/j.rbo.2013.05.004

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Revista Brasileira de Ortopedia

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Sumário

• Rev. bras. ortop. 49 (1) • Jan-Feb 2014 • https://doi.org/10.1016/j.rboe.2014.01.012 copy

Evaluation of surgical treatment of Dupuytren's disease by modified open palm technique^☆ ☆ Please cite this article as: Guilhen TA, Vieira ABM, de Castro MC, Hirata HH, Machado IR. Avaliação do tratamento cirúrgico da doença de Dupuytren pela técnica da palma aberta modificada. Rev Bras Ortop. 2014;49:31–36. ^,^☆☆ ☆☆ Study conducted at Instituto Jundiaiense de Ortopedia e Traumatologia, Jundiaí, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

to assess the surgical technique using the modified palm open technique for the treatment of severe contractions of Dupuytren's disease.

Methods:

over a period of four years, 16 patients underwent surgical treatment, and in its entirety belonged to stages III and IV of the classification proposed by Tubiana et al. We performed measurements of the extension deficit of the metacarpophalangeal joints, proximal and distal interphalangeal in preoperative, postoperative (3 months) and late postoperative period (5-8 years). Angles greater than 30° metacarpophalangeal joints and 15° proximal interphalangeal the results were considered surgical recurrence.

Results:

there was obtained an average of 6.3° at the metacarpophalangeal joint, 13.8° in the proximal interphalangeal and distal interphalangeal at 1.9°.

Conclusion:

the modified open palm technique is an effective method in the surgical treatment of severe contractures in Dupuytren's disease.

Dupuytren contracture; Hand; Surgical procedures operative

	Preoperatory			Post-operatory			Late post-operatory
	MCP	PIP	DIP	MCP	PIP	DIP	MCP	PIP	DIP
Patient 1	45	35	20	05	00	00	15	20	00
Patient 2	50	30	20	05	05	00	05	20	00
Patient 3	40	30	15	00	00	00	00	10	00
Patient 4	50	40	20	00	05	05	10	30	05
Patient 5	45	30	15	05	10	00	25	20	00
Patient 6	40	30	20	00	05	00	00	05	00
Patient 7	50	35	10	00	05	00	00	05	00
Patient 8	45	30	10	05	00	00	05	05	05
Patient 9	50	35	20	05	00	00	05	10	05
Patient 10	45	30	20	00	00	00	00	10	00
Patient 11	50	40	10	00	00	00	15	20	00
Patient 12	40	30	20	00	00	00	00	10	00
Patient 13	45	35	20	05	00	05	05	10	05
Patient 14	55	40	25	00	00	05	10	20	05
Patient 15	50	45	25	00	05	05	05	15	05
Patient 16	45	30	25	00	00	00	00	10	00

Comparisons	p ^a a p values corrected by the Bonferroni method for multiple comparison tests.
Comparisons	MCP-FL	PIP	DIP
Pre × post	0.0012	0.0013	0.0012
Pre- × post-late	0.0012	0.0013	0.0012
Post- × post-late	0.1020	0.0025	1.0000

Joint	Period	Minimum	Median	Mean	Maximum	SD
MCP	Preoperatory	40.0	45.0	46.6	55.0	4.4
	Post-operatory	0.0	0.0	1.9	5.0	2.5
	Late post-operatory	0.0	5.0	6.3	25.0	7.2
PIP	Preoperatory	30.0	32.5	34.1	45.0	4.9
	Post-operatory	0.0	0.0	2.2	10.0	3.1
	Late post-operatory	5.0	10.0	13.8	30.0	7.2
DIP	Preoperatory	10.0	20.0	18.4	25.0	5.1
	Post-operatory	0.0	0.0	1.3	5.0	2.2
	Late post-operatory	0.0	0.0	1.9	5.0	2.5

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[TFN01t04] MCP, metacarpophalangeal; PIP, proximal interphalangeal; DIP, distal interphalangeal.