Belusa L, Buck-Gramcko D, Partecke B D
Abteilung für Handchirurgie, Plastische und Mikrochirurgie, Zentrum für Schwerbrandverletzte, Berufsgenossenschaftlichen Unfallkrankenhauses Hamburg.
Handchir Mikrochir Plast Chir. 1997 May;29(3):158-63.
The results of 226 arthrolyses of the proximal interphalangeal joints of ring and small fingers in patients with Dupuytren's disease are presented in a retrospective study. 52% of cases involved first operations, 48% were operations of recurrent diseases. Proximal interphalangeal joints of small fingers were more frequently affected than those of the ring fingers. Arthrolysis was carried out stepwise in Buck-Gramcko's technique. In 13% of the cases an additional temporary transarticular Kirschner wire fixation was carried out. The results were graded according to extension deficits and the distance from fingertips to distal palmar crease. The average pre-operative extension deficit was 65 degrees. The average extension deficit three months after operation was 35 degrees. The post-operative distance from fingertips to distal palmar crease was 2.5 centimeters. Ring fingers yielded better results than small fingers. A temporary transarticular Kirschner wire fixation did not lead to better results. In unfavourable cases however, this fixation seems to be indicated. Complications occurred in 27% of the cases, mainly involving wound healing.
一项回顾性研究展示了226例患有杜普伊特伦挛缩症患者的环指和小指近端指间关节关节松解术的结果。52%的病例为首次手术，48%为复发性疾病的手术。小指的近端指间关节比环指更常受累。关节松解术采用巴克-格拉姆科技术分步进行。13%的病例额外进行了临时经关节克氏针固定。结果根据伸展功能障碍以及指尖到手掌远侧横纹的距离进行分级。术前平均伸展功能障碍为65度。术后三个月平均伸展功能障碍为35度。术后指尖到手掌远侧横纹的距离为2.5厘米。环指的结果优于小指。临时经关节克氏针固定并未带来更好的结果。然而，在不利的情况下，这种固定似乎是必要的。27%的病例出现了并发症，主要涉及伤口愈合。
