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Residual deformity versus recurrence following Dupuytren's palmar fasciectomy-a long term follow-up of 142 cases
INTRODUCTION: and background: Surgical options for Dupuytren's disease (DD) are multiple, and Dupuytren's palmar fasciectomy (PF) is a common surgical procedure performed for contractures that cause functional and cosmetic disability. The recurrence rate for PF has been reported to be very...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8767281/ https://www.ncbi.nlm.nih.gov/pubmed/35079364 http://dx.doi.org/10.1016/j.amsu.2021.103224 |
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author | Radhamony, Niranj Ganeshan Nair, Rajiv Ramachandran Sreenivasan, Sachith Walkay, Sriganesh Soni, Aditya Kakkar, Rahul |
author_facet | Radhamony, Niranj Ganeshan Nair, Rajiv Ramachandran Sreenivasan, Sachith Walkay, Sriganesh Soni, Aditya Kakkar, Rahul |
author_sort | Radhamony, Niranj Ganeshan |
collection | PubMed |
description | INTRODUCTION: and background: Surgical options for Dupuytren's disease (DD) are multiple, and Dupuytren's palmar fasciectomy (PF) is a common surgical procedure performed for contractures that cause functional and cosmetic disability. The recurrence rate for PF has been reported to be very variable, ranging from 12 to 73%, according to various studies. One of the reasons for the varied range is the inconsistency in the method followed to define recurrence. Subsequently, a consensus-based definition was formulated in 2016, and we analysed the outcome in our series of patients treated with PF based on this standard definition. We also analysed the residual deformity associated in these cases. METHOD: ology: Our study is a retrospective analysis of 142 consecutive cases of primary Dupuytren's palmar fasciectomy by a single surgeon in three different centres. We followed the international consensus definition for analysing recurrence in these cases, and we also analysed residual cases as a separate entity. RESULTS: The mean age of the cases was 67.13 years and the mean follow-up period was 3.95 years. Alcoholism, smoking, diabetes and hypercholesterolemia were the commonest associated risk factors. The commonest affected finger and the finger with the maximum deformity were the little finger. The overall rate of recurrence of deformity was 3.5% and the rate of residual deformity was 30.3%. The overall complication rate was 11.9%. CONCLUSION: Recurrence and residual deformity can be considered as separate entities. The term ‘residual deformity’ can be used to denote patients with persisting deformity or those who incur deformity within one year of the primary surgery. |
format | Online Article Text |
id | pubmed-8767281 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-87672812022-01-24 Residual deformity versus recurrence following Dupuytren's palmar fasciectomy-a long term follow-up of 142 cases Radhamony, Niranj Ganeshan Nair, Rajiv Ramachandran Sreenivasan, Sachith Walkay, Sriganesh Soni, Aditya Kakkar, Rahul Ann Med Surg (Lond) Case-controlled Study INTRODUCTION: and background: Surgical options for Dupuytren's disease (DD) are multiple, and Dupuytren's palmar fasciectomy (PF) is a common surgical procedure performed for contractures that cause functional and cosmetic disability. The recurrence rate for PF has been reported to be very variable, ranging from 12 to 73%, according to various studies. One of the reasons for the varied range is the inconsistency in the method followed to define recurrence. Subsequently, a consensus-based definition was formulated in 2016, and we analysed the outcome in our series of patients treated with PF based on this standard definition. We also analysed the residual deformity associated in these cases. METHOD: ology: Our study is a retrospective analysis of 142 consecutive cases of primary Dupuytren's palmar fasciectomy by a single surgeon in three different centres. We followed the international consensus definition for analysing recurrence in these cases, and we also analysed residual cases as a separate entity. RESULTS: The mean age of the cases was 67.13 years and the mean follow-up period was 3.95 years. Alcoholism, smoking, diabetes and hypercholesterolemia were the commonest associated risk factors. The commonest affected finger and the finger with the maximum deformity were the little finger. The overall rate of recurrence of deformity was 3.5% and the rate of residual deformity was 30.3%. The overall complication rate was 11.9%. CONCLUSION: Recurrence and residual deformity can be considered as separate entities. The term ‘residual deformity’ can be used to denote patients with persisting deformity or those who incur deformity within one year of the primary surgery. Elsevier 2022-01-01 /pmc/articles/PMC8767281/ /pubmed/35079364 http://dx.doi.org/10.1016/j.amsu.2021.103224 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case-controlled Study Radhamony, Niranj Ganeshan Nair, Rajiv Ramachandran Sreenivasan, Sachith Walkay, Sriganesh Soni, Aditya Kakkar, Rahul Residual deformity versus recurrence following Dupuytren's palmar fasciectomy-a long term follow-up of 142 cases |
title | Residual deformity versus recurrence following Dupuytren's palmar fasciectomy-a long term follow-up of 142 cases |
title_full | Residual deformity versus recurrence following Dupuytren's palmar fasciectomy-a long term follow-up of 142 cases |
title_fullStr | Residual deformity versus recurrence following Dupuytren's palmar fasciectomy-a long term follow-up of 142 cases |
title_full_unstemmed | Residual deformity versus recurrence following Dupuytren's palmar fasciectomy-a long term follow-up of 142 cases |
title_short | Residual deformity versus recurrence following Dupuytren's palmar fasciectomy-a long term follow-up of 142 cases |
title_sort | residual deformity versus recurrence following dupuytren's palmar fasciectomy-a long term follow-up of 142 cases |
topic | Case-controlled Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8767281/ https://www.ncbi.nlm.nih.gov/pubmed/35079364 http://dx.doi.org/10.1016/j.amsu.2021.103224 |
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