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http://hdl.handle.net/1942/40826
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DC Field | Value | Language |
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dc.contributor.author | VANMIERLO, Bert | - |
dc.contributor.author | Van Eecke, Eduard | - |
dc.contributor.author | Decramer, Arne | - |
dc.contributor.author | VANMIERLO, Tim | - |
dc.contributor.author | Van Royen, Kjell | - |
dc.contributor.author | Goubau, Jean | - |
dc.date.accessioned | 2023-09-04T12:38:12Z | - |
dc.date.available | 2023-09-04T12:38:12Z | - |
dc.date.issued | 2023 | - |
dc.date.submitted | 2023-09-04T12:29:59Z | - |
dc.identifier.citation | Hand Surgery & Rehabilitation, 42 (4) , p. 291 -297 | - |
dc.identifier.uri | http://hdl.handle.net/1942/40826 | - |
dc.description.abstract | Objective: Management of recurrent Dupuytren's disease of the little finger is challenging. Various treatment modalities have been proposed: external fixation, local skin flap, dermofasciectomy, or even amputation. An alternative surgical technique was introduced by Honecker et al. in 2016 and refined by Raimbeau et al. in 2019, consisting in resection of the middle phalanx and shortening arthrodesis. We modified the technique by combining arthrodesis with a limited fasciectomy of the abductor and/or pretendinous cord in the fifth ray to improve cosmetic and functional outcomes. Methods: Patients with severe recurrent Dupuytren's disease of the little finger (Tubiana stage III/IV) were treated with proximodistal interphalangeal arthrodesis, combined with limited fasciectomy. Range of motion was assessed preoperatively and postoperatively. QuickDASH and a VAS were assessed to determine overall function and pain respectively. Radiographic evaluation was made at 6 and 12 weeks postoperatively.Results: Thirteen patients were eligible for inclusion. Mean age was 69 years (range 49-87). Radiographic consolidation was obtained at a mean 58 days (range 27-97). Full extension of the metacarpophalangeal joint was achieved in 11 patients and full adduction in 12. Mean active flexion was 948 (range 90-100). QuickDASH scores decreased from 18 to 12 after surgery. Pain scores were low and unchanged.Conclusion: By combining proximodistal interphalangeal arthrodesis with limited fasciectomy through a volar approach, finger extension improved, and fixed abduction was also treated. The combined volar and dorsal approach did not induce vascular impairment or other complications.⠂C 2023 SFCM. Published by Elsevier Masson SAS. All rights reserved. | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER | - |
dc.rights | 2023 SFCM. Published by Elsevier Masson SAS. All rights reserved. | - |
dc.subject.other | Dupuytren's disease | - |
dc.subject.other | Recurrence | - |
dc.subject.other | Shortening arthrodesis | - |
dc.subject.other | Fasciectomy | - |
dc.subject.other | Salvage | - |
dc.subject.other | Dupuytren | - |
dc.subject.other | Arthrode`se | - |
dc.subject.other | Fasciectomie | - |
dc.subject.other | Sauvetage | - |
dc.title | Shortening arthrodesis combined with limited fasciectomy in severe recurrent Dupuytren's disease of the fifth finger | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 297 | - |
dc.identifier.issue | 4 | - |
dc.identifier.spage | 291 | - |
dc.identifier.volume | 42 | - |
local.format.pages | 7 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Van Eecke, E (corresponding author), AZ Delta Roeselare, Dept Orthopaed & Traumatol, Brugsesteenweg 80, B-8800 Roeselare, Belgium. | - |
dc.description.notes | eduard.van.eecke@hotmail.com | - |
local.publisher.place | 685 ROUTE 202-206, BRIDGEWATER, NJ 08807 USA | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.1016/j.hansur.2023.04.005 | - |
dc.identifier.pmid | 37116702 | - |
dc.identifier.isi | 001052806400001 | - |
local.provider.type | wosris | - |
local.description.affiliation | [Vanmierlo, Bert; Van Eecke, Eduard; Decramer, Arne] AZ Delta Roeselare, Dept Orthopaed & Traumatol, Brugsesteenweg 80, B-8800 Roeselare, Belgium. | - |
local.description.affiliation | [Vanmierlo, Bert] Hasselt Univ, Dept Cardio & Organ Syst, Martelarenlaan 42, B-3500 Hasselt, Belgium. | - |
local.description.affiliation | [Vanmierlo, Tim] Hasselt Univ, Biomed Res Inst Biomed, Dept Immunol & Biochem, Martelarenlaan 42, B-3500 Hasselt, Belgium. | - |
local.description.affiliation | [Vanmierlo, Tim] Maastricht Univ, Sch Mental Hlth & Neurosci MHeNs, Dept Psychiat & Neuropsychol, Div Translat Neurosci, Minderbroedersberg 4-6, Maastricht, Netherlands. | - |
local.description.affiliation | [Van Royen, Kjell] OLV Aalst, Dept Orthopaed & Traumatol, Moorselbaan 164, B-9300 Aalst, Belgium. | - |
local.description.affiliation | [Van Royen, Kjell; Goubau, Jean] UZ Brussel, Dept Orthopaed & Traumatol, Laarbeeklaan 101, B-1090 Brussels, Belgium. | - |
local.description.affiliation | [Goubau, Jean] AZ Maria Middelares, Dept Orthopaed & Traumatol, Buitenring Sint Denijs 30, B-9000 Ghent, Belgium. | - |
local.uhasselt.international | yes | - |
item.fullcitation | VANMIERLO, Bert; Van Eecke, Eduard; Decramer, Arne; VANMIERLO, Tim; Van Royen, Kjell & Goubau, Jean (2023) Shortening arthrodesis combined with limited fasciectomy in severe recurrent Dupuytren's disease of the fifth finger. In: Hand Surgery & Rehabilitation, 42 (4) , p. 291 -297. | - |
item.fulltext | With Fulltext | - |
item.embargoEndDate | 2024-09-30 | - |
item.contributor | VANMIERLO, Bert | - |
item.contributor | Van Eecke, Eduard | - |
item.contributor | Decramer, Arne | - |
item.contributor | VANMIERLO, Tim | - |
item.contributor | Van Royen, Kjell | - |
item.contributor | Goubau, Jean | - |
item.accessRights | Embargoed Access | - |
crisitem.journal.issn | 2468-1229 | - |
crisitem.journal.eissn | 2468-1210 | - |
Appears in Collections: | Research publications |
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PDF.pdf Restricted Access | Published version | 2.61 MB | Adobe PDF | View/Open Request a copy |
Manuscript-HandSurgeryandRehabilitation-V2.pdf Until 2024-09-30 | Peer-reviewed author version | 229.21 kB | Adobe PDF | View/Open Request a copy |
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