Coert J Henk, Nérin Juan P Barret, Meek Marcel F
Department of Plastic Surgery, University Hospital Groningen, The Netherlands.
Ann Plast Surg. 2006 Jul;57(1):13-7. doi: 10.1097/01.sap.0000205819.53215.52.
Many different surgical techniques are still being used for Dupuytren disease. The outcome of 558 consecutive operations with 1 technique was reviewed. Distinct subgroups were made to detect risk factors for a poor outcome and complications. The mean follow-up time was 7.3 years. Younger patients (first surgery before 45 years) were operated significantly more than older patients (after 45 years). Results of contracted proximal interphalangeal (PIP) joints were significantly worse than other joints. The overall complication rate was 26%. Nerve lesions occurred in 7.7%. Young age proved to be a prognostic factor for the total number of operations. The contracted PIP joints will lead to more complications and poorer result. The risk at nerve lesion, necrosis, and infection are higher for recurrent surgery. These findings can be used in advising patients.
目前仍有许多不同的手术技术用于治疗掌腱膜挛缩症。我们回顾了采用一种技术连续进行的558例手术的结果。将患者分为不同亚组以检测预后不良和并发症的风险因素。平均随访时间为7.3年。年轻患者（45岁之前首次手术）接受手术的比例明显高于老年患者（45岁之后）。近端指间关节（PIP）挛缩的手术结果明显比其他关节差。总体并发症发生率为26%。神经损伤发生率为7.7%。事实证明，年轻是手术总次数的一个预后因素。PIP关节挛缩会导致更多并发症且预后更差。再次手术时神经损伤、坏死和感染的风险更高。这些发现可用于为患者提供建议。
