Hodgkinson P D
Department of Plastic Surgery, Royal Victoria Infirmary and Newcastle General Hospital, UK.
J Hand Surg Br. 1994 Aug;19(4):534-7. doi: 10.1016/0266-7681(94)90222-4.
The flexed PIP joint presents a particular problem in the treatment of advanced Dupuytren's disease. Following reports of the use of skeletal traction in the treatment of this condition, a simple device, the "Pipster" was developed to extend the PIP joint by skeletal traction before surgery. In seven fingers in five patients with severe contractures, there was a pre-operative improvement of at least 45 degrees in the flexion angle (measured as maximum achievable passive extension). The technique was effective in primary and recurrent disease. Subsequent surgery was facilitated and amputation avoided in five fingers. The optimum distraction technique was identified. The study continues with more patients.
在晚期杜普伊特伦挛缩病的治疗中，屈曲的近端指间关节（PIP）呈现出一个特殊问题。在有关于使用骨骼牵引治疗这种病症的报道之后，一种名为“Pipster”的简单装置被研发出来，用于在手术前通过骨骼牵引来伸展PIP关节。在5例患有严重挛缩的患者的7根手指中，屈曲角度（以最大可实现的被动伸展来测量）在术前至少改善了45度。该技术在原发性和复发性疾病中均有效。后续手术变得更容易，并且避免了5根手指的截肢。确定了最佳的牵引技术。该研究将继续纳入更多患者。
