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首页> 外文期刊>The journal of hand surgery. British and European volume: Journal of the British Society for Surgery of the Hand >Proximal interphalangeal joint release in Dupuytren's disease of the little finger.
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Proximal interphalangeal joint release in Dupuytren's disease of the little finger.

机译：小指的Dupuytren病的近指间关节释放。

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摘要

We present a prospective study, with 3-year follow-up, of the role and outcome of fasciectomy plus sequential surgical release of structures of the proximal interphalangeal joint in Dupuytren's contracture of the little finger. Our treatment programme involves fasciectomy for all patients followed by sequential release of the accessory collateral ligament and volar plate as necessary. Of the 19 fingers in the study, eight achieved a full correction by fasciectomy alone, and in these cases there was a fixed flexion deformity of 6 degrees at 3 months and 8 degrees at 3 years. The remaining 11 fingers (initial mean deformity 70 degrees flexion) were left with a fixed flexion deformity of 42 degrees after fasciectomy which reduced to 7 degrees with capsulo-ligamentous release. This increased to 26 degrees at 3 months but then remained relatively stable, increasing only to 29 degrees at 3 years. In our experience sequential proximal interphalangeal joint release has led to consistently good results with fewcomplications in the correction of severe Dupuytren's disease of the little finger.
机译：我们进行了一项为期3年的随访研究，探讨了筋膜切除术的作用和结果以及相继手术释放近端指间关节结构在小指部Dupuytren挛缩中的作用。我们的治疗方案包括对所有患者进行筋膜切除术，然后根据需要顺序释放副侧副韧带和掌侧钢板。在研究的19根手指中，只有8根仅通过筋膜切除术即可完全矫正，在这些情况下，3个月时固定屈曲畸形分别为6度和3年时均为8度。其余11根手指（最初平均屈曲度为70度）在筋膜切除术后保留42度的固定屈曲度，并在锁骨韧带释放时降至7度。在3个月时上升至26度，但随后保持相对稳定，在3年时仅上升至29度。根据我们的经验，顺序性近端指间关节松脱术在纠正小指严重Dupuytren病方面几乎没有并发症的情况下，一直取得了良好的效果。

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