Haase Steven C, Chung Kevin C
Department of Surgery, Michigan Medicine, University of Michigan Medical School, 2130 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Department of Surgery, Michigan Medicine, University of Michigan Medical School, 2130 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Hand Clin. 2018 Aug;34(3):427-436. doi: 10.1016/j.hcl.2018.04.003.
As minimally invasive options for treatment of Dupuytren contractures become increasingly widespread, it is important that the evidence is carefully evaluated and patients are informed of the risks and benefits of the options available. The authors advocate a shared decision-making process, using evidence-based medicine, to guide patients in their treatment choices. In this article, the authors present their thoughtful approach to selecting the appropriate Dupuytren treatment of patients, along with detailed, practical technical tips to avoid complications during the execution of these interventions; both collagenase injection and limited fasciectomy techniques are described in detail.
随着治疗杜普伊特伦挛缩症的微创选择越来越普遍,仔细评估证据并让患者了解可用选择的风险和益处非常重要。作者提倡采用基于循证医学的共同决策过程,以指导患者做出治疗选择。在本文中,作者介绍了他们选择合适的杜普伊特伦患者治疗方法的深思熟虑的方法,以及在实施这些干预措施时避免并发症的详细实用技术提示;胶原酶注射和有限筋膜切除术技术均有详细描述。