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Wound healing after hand surgery in patients with systemic sclerosis-a retrospective analysis of 41 operations in 19 patients.

Tägil, Magnus LU ; Dieterich, J and Kopylov, Philippe LU (2007) In Journal of Hand Surgery (British Volume) 32E(3). p.316-319
Abstract
t

This retrospective study evaluates the results of 41 consecutive hand and forearm operations in 19 patients with systemic sclerosis performed between 1985 and 2000. The mean age of the patients was 50 (14-84) years. Twenty-seven operations were elective and 14 were acute, carried out for skin breakdown and/or skin necrosis. One minor wound healing problem occurred in the elective group. In the acute group, seven of 14 operations healed uneventfully. Four patients had necrosis/ infections after surgery, which required further surgery. Two patients had repeated wound infections. Another patient only healed after he stopped smoking. In systemic sclerosis, surgery performed electively does not seem to have increased difficulty... (More)
t

This retrospective study evaluates the results of 41 consecutive hand and forearm operations in 19 patients with systemic sclerosis performed between 1985 and 2000. The mean age of the patients was 50 (14-84) years. Twenty-seven operations were elective and 14 were acute, carried out for skin breakdown and/or skin necrosis. One minor wound healing problem occurred in the elective group. In the acute group, seven of 14 operations healed uneventfully. Four patients had necrosis/ infections after surgery, which required further surgery. Two patients had repeated wound infections. Another patient only healed after he stopped smoking. In systemic sclerosis, surgery performed electively does not seem to have increased difficulty with wound healing. Even larger operations, such as wrist arthrodesis or wrist replacement, can be performed safely. In acute cases with spontaneous skin breakdown and/or necrosis and/or critically ischaemic fingers, wound healing is more precarious and several procedures may be necessary to achieve skin healing. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
healing, systemic sclerosis, sclerodermia, hand surgery, wound, impaired healing
in
Journal of Hand Surgery (British Volume)
volume
32E
issue
3
pages
316 - 319
publisher
SAGE Publications Inc.
external identifiers
  • wos:000247252100013
  • scopus:34247868999
ISSN
0266-7681
DOI
10.1016/j.jhsb.2006.12.006
language
English
LU publication?
yes
id
b680c5fc-9dca-4270-9cce-14bdf78fd9cd (old id 165926)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17275973&dopt=Abstract
date added to LUP
2007-07-12 15:53:53
date last changed
2017-01-01 07:17:37
@article{b680c5fc-9dca-4270-9cce-14bdf78fd9cd,
  abstract     = {t 	<br/><br>
This retrospective study evaluates the results of 41 consecutive hand and forearm operations in 19 patients with systemic sclerosis performed between 1985 and 2000. The mean age of the patients was 50 (14-84) years. Twenty-seven operations were elective and 14 were acute, carried out for skin breakdown and/or skin necrosis. One minor wound healing problem occurred in the elective group. In the acute group, seven of 14 operations healed uneventfully. Four patients had necrosis/ infections after surgery, which required further surgery. Two patients had repeated wound infections. Another patient only healed after he stopped smoking. In systemic sclerosis, surgery performed electively does not seem to have increased difficulty with wound healing. Even larger operations, such as wrist arthrodesis or wrist replacement, can be performed safely. In acute cases with spontaneous skin breakdown and/or necrosis and/or critically ischaemic fingers, wound healing is more precarious and several procedures may be necessary to achieve skin healing.},
  author       = {Tägil, Magnus and Dieterich, J and Kopylov, Philippe},
  issn         = {0266-7681},
  keyword      = {healing,systemic sclerosis,sclerodermia,hand surgery,wound,impaired healing},
  language     = {eng},
  number       = {3},
  pages        = {316--319},
  publisher    = {SAGE Publications Inc.},
  series       = {Journal of Hand Surgery (British Volume)},
  title        = {Wound healing after hand surgery in patients with systemic sclerosis-a retrospective analysis of 41 operations in 19 patients.},
  url          = {http://dx.doi.org/10.1016/j.jhsb.2006.12.006},
  volume       = {32E},
  year         = {2007},
}