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Clinical Results of Percutaneous Needle Fasciotomy for Dupuytren Contracture: Are There Significant Correlations Between Preoperative Dupuytren Diathesis Score and Contracture Recurrence?

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Dupuytren Disease and Related Diseases - The Cutting Edge

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Abstract

The aim of this prospective study was to evaluate the influence of Abe’s diathesis score on disease recurrence following percutaneous needle fasciotomies (PNF) for Dupuytren contracture (DC) cohort of 67 patients was followed for recurrence annually over 3 years. Patients were divided into two groups based on their diathesis scores; one consisted of patients with scores >4 and the other consisted of patients with scores ≤4. Recurrence was defined as an increase in passive extension deficit (PED) of at least 20° compared with the value in each joint and digital ray documented 6 weeks after surgery. Recurrence rate was calculated for each patient, hand, digital ray, and finger joint, respectively. There were no statistically significant differences between the group with a diathesis score >4 and the group with a diathesis score ≤4 with respect to patients, hands, and proximal interphalangeal (PIP) joints at the 3-year follow-up. However, there were statistically significant differences in the group with a diathesis score >4 in digital rays and metacarpophalangeal (MCP) joints. The diathesis score predicted digital ray and MCP joint contracture recurrence following PNF after more than 2 years of follow-up.

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The author has no conflict of interest to declare.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Chiba Rosai Hospital, 2-16 Tatumidai-higashi, 290-0003, Ichihara City, Japan

    Yoshihiro Abe

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  1. Yoshihiro Abe
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Correspondence to Yoshihiro Abe .

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Editors and Affiliations

  1. University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands

    Paul M. N. Werker

  2. Leicester General Hospital, University Hospitals of Leicester, Leicester, United Kingdom

    Joseph Dias

  3. Dupuytren Foundation, West Palm Beach, Florida, USA

    Charles Eaton

  4. Nürnberg Clinics, Paracelsus Medical University, Nürnberg, Germany

    Bert Reichert

  5. International Dupuytren Society, Übersee, Germany

    Wolfgang Wach

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Abe, Y. (2017). Clinical Results of Percutaneous Needle Fasciotomy for Dupuytren Contracture: Are There Significant Correlations Between Preoperative Dupuytren Diathesis Score and Contracture Recurrence?. In: Werker, P., Dias, J., Eaton, C., Reichert, B., Wach, W. (eds) Dupuytren Disease and Related Diseases - The Cutting Edge. Springer, Cham. https://doi.org/10.1007/978-3-319-32199-8_22

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  • DOI: https://doi.org/10.1007/978-3-319-32199-8_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-32197-4

  • Online ISBN: 978-3-319-32199-8

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