Current trends in the surgical management of Dupuytren's disease in Europe : An analysis of patient charts
Bainbridge, Christopher ; Dahlin, Lars B. LU
; Szczypa, Piotr P.
; Cappelleri, Joseph C.
; Guérin, Daniel
and Gerber, Robert A.
(2012)
In European Orthopaedics and Traumatology
3(1).
p.31-41
- Abstract
Introduction: Dupuytren's disease (DD) causes progressive digital flexion contracture and is more common in men of European descent. Methods: Orthopaedic and plastic surgeons in 12 European countries (the Czech Republic, Denmark, Finland, France, Germany, Hungary, Italy, The Netherlands, Poland, Spain, Sweden and the UK) with >3 and <30 years experience reviewed the medical charts of five consecutive patients they had treated surgically for DD in 2008. Descriptive statistics are reported. Results: In total, 3,357 patient charts were reviewed. Mean (standard deviation) patient age was 61.9 (10.2) years; 81% were men. At the time of the procedure, 11% of patients were at Tubiana stage Ia (0-20° total flexion); 30%, stage Ib... (More)
Introduction: Dupuytren's disease (DD) causes progressive digital flexion contracture and is more common in men of European descent. Methods: Orthopaedic and plastic surgeons in 12 European countries (the Czech Republic, Denmark, Finland, France, Germany, Hungary, Italy, The Netherlands, Poland, Spain, Sweden and the UK) with >3 and <30 years experience reviewed the medical charts of five consecutive patients they had treated surgically for DD in 2008. Descriptive statistics are reported. Results: In total, 3,357 patient charts were reviewed. Mean (standard deviation) patient age was 61.9 (10.2) years; 81% were men. At the time of the procedure, 11% of patients were at Tubiana stage Ia (0-20° total flexion); 30%, stage Ib (21-45°); 34%, stage II (46-90°); 17%, stage III (91-135°); and 5%, stage IV (&135°). Percutaneous needle fasciotomy was performed in 10%, fasciotomy in 13%, fasciectomy in 69% and dermofasciectomy (DF) in 6% of patients. After surgery, fingers improved a mean of 1.9 Tubiana stages, and 54% of patients had no nodules or contracture. The rate of reported complications during the procedure was 4% overall (11% in patients undergoing DF). The most common postoperative complications reported were haematoma (8%), wound healing complications (6%) and pain (6%). No postoperative complications were reported in 77% of patients. Conclusions: In this European study of more than 3,000 patients with DD, most patients were diagnosed at Tubiana stage I or II, the majority received fasciectomy and more than half had no nodules or contracture remaining after surgery.
(Less)
- author
- Bainbridge, Christopher
; Dahlin, Lars B.
LU
; Szczypa, Piotr P.
; Cappelleri, Joseph C.
; Guérin, Daniel
and Gerber, Robert A.
- organization
- publishing date
- 2012-12-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Cord contracture, Dermofasciectomy, Dupuytren's disease, Fasciectomy, Fasciotomy, Percutaneous needle fasciotomy
- in
- European Orthopaedics and Traumatology
- volume
- 3
- issue
- 1
- pages
- 11 pages
- publisher
- Springer
- external identifiers
-
- scopus:84873172978
- ISSN
- 1867-4569
- DOI
- 10.1007/s12570-012-0092-z
- language
- English
- LU publication?
- yes
- id
- 2c46626a-e1ee-442c-be81-9b16697674e3
- date added to LUP
- 2019-06-17 14:20:24
- date last changed
- 2022-04-26 01:51:06
@article{2c46626a-e1ee-442c-be81-9b16697674e3,
abstract = {{<p>Introduction: Dupuytren's disease (DD) causes progressive digital flexion contracture and is more common in men of European descent. Methods: Orthopaedic and plastic surgeons in 12 European countries (the Czech Republic, Denmark, Finland, France, Germany, Hungary, Italy, The Netherlands, Poland, Spain, Sweden and the UK) with >3 and <30 years experience reviewed the medical charts of five consecutive patients they had treated surgically for DD in 2008. Descriptive statistics are reported. Results: In total, 3,357 patient charts were reviewed. Mean (standard deviation) patient age was 61.9 (10.2) years; 81% were men. At the time of the procedure, 11% of patients were at Tubiana stage Ia (0-20° total flexion); 30%, stage Ib (21-45°); 34%, stage II (46-90°); 17%, stage III (91-135°); and 5%, stage IV (&135°). Percutaneous needle fasciotomy was performed in 10%, fasciotomy in 13%, fasciectomy in 69% and dermofasciectomy (DF) in 6% of patients. After surgery, fingers improved a mean of 1.9 Tubiana stages, and 54% of patients had no nodules or contracture. The rate of reported complications during the procedure was 4% overall (11% in patients undergoing DF). The most common postoperative complications reported were haematoma (8%), wound healing complications (6%) and pain (6%). No postoperative complications were reported in 77% of patients. Conclusions: In this European study of more than 3,000 patients with DD, most patients were diagnosed at Tubiana stage I or II, the majority received fasciectomy and more than half had no nodules or contracture remaining after surgery.</p>}},
author = {{Bainbridge, Christopher and Dahlin, Lars B. and Szczypa, Piotr P. and Cappelleri, Joseph C. and Guérin, Daniel and Gerber, Robert A.}},
issn = {{1867-4569}},
keywords = {{Cord contracture; Dermofasciectomy; Dupuytren's disease; Fasciectomy; Fasciotomy; Percutaneous needle fasciotomy}},
language = {{eng}},
month = {{12}},
number = {{1}},
pages = {{31--41}},
publisher = {{Springer}},
series = {{European Orthopaedics and Traumatology}},
title = {{Current trends in the surgical management of Dupuytren's disease in Europe : An analysis of patient charts}},
url = {{http://dx.doi.org/10.1007/s12570-012-0092-z}},
doi = {{10.1007/s12570-012-0092-z}},
volume = {{3}},
year = {{2012}},
}