Keywords
How to Cite
Abstract
Relevance. The variety of manifestations of Dupuytren's disease, caused by the degree of lesions of the palmar aponeurosis, the duration of the disease, the nature of professional activity, and concomitant pathology of patients, has led to the development of numerous surgical techniques with different levels of effectiveness in the acute and long-term periods. A wide discussion of the issues of Dupuytren's disease in the domestic and foreign periodicals, the analysis of treatment methods, complications and rehabilitation indicate the urgency of the problem and the expediency of further research.
Objective: a retrospective analysis of the leading literary sources devoted to the surgical treatment of Dupuytren's disease; the definition of modern approaches to surgical tactics and restoration of hand function.
Results. The analysis of literature sources showed the advantages of differentiated approaches to the surgical treatment of Dupuytren's disease, depending on the severity of the disease. With mild and moderate lesions, there is a significant increase in needle aponeurectomy. In severe forms, the segmental aponeurectomy technique is preferred over the total one. There is some discrepancy in carrying out surgical mobilization of the proximal interphalangeal joint and the need to achieve a functional position as a result of treatment. The tactics of surgical treatment and rehabilitation of Dupuytren's disease requires an individual approach, taking into account the age and severity of the disease, and tends to spread minimally invasive fasciotomy techniques.
References
Larsen S, Krogsgaard DG, Aagaard Larsen L, Iachina M, Skytthe A, Frederiksen H. Genetic and environmental influences in Dupuytren’s disease: a study of 30,330 Danish twin pairs. J Hand Surg Eur Vol. 2015 Feb;40(2):171-6. DOI: 10.1177/1753193414535720.
Becker K, Tinschert S, Lienert A, Bleuler PE, Staub F, Meinel A, et al. The importance of genetic susceptibility in Dupuytren’s disease. Clin Genet. 2015 May;87(5):483-7. DOI: 10.1111/cge.12410.
Lanting R, van den Heuvel ER, Westerink B, Werker PMN. Prevalence of Dupuytren disease in The Netherlands. Plast Reconstr Surg. 2013 Aug;132(2):394-403. DOI: 10.1097/PRS.0b013e3182958a33.
Bebbington E, Furniss D. Linear regression analysis of Hospital Episode Statistics predicts a large increase in demand for elective hand surgery in England. J Plast Reconstr Aesthet Surg. 2015 Feb;68(2):243-51. DOI: 10.1016/j.bjps.2014.10.011
Голубев ИО, Улищенко АА. Пассивная гиперэкстензия пальцев как фактор прогноза прогрессирования при болезни Дюпюитрена. Вопросы реконструктивной и пластической хирургии. 2018;3:42-7.
Golubev IO, Ulishchenko AA. Passive hyperextension of the fingers as a predictor of progression in Dupuytren’s disease. Voprosy rekonstruktivnoj i plasticheskoj hirurgii. 2018;3:42-7. [in Russian].
Loos B, Puschkin V, Horch RE. 50 years’ experience with Dupuytren’s contracture in the Erlangen University Hospital – a retrospective analysis of 2919 operated hands from 1956 to 2006. BMC Musculoskelet Disord. 2007 Jul 4;8:60. DOI: 10.1186/1471-2474-8-60.
Desai SS, Hentz VR. The treatment of Dupuytren disease. J Hand Surg Am. 2011 May;36(5):936-42. DOI: 10.1016/j.jhsa.2011.03.002.
Alser O, Craig RS, Lane JC. Serious complications and risk of re-operation after Dupuytren’s disease surgery: a population-based cohort study of 121,488 patients in England. Sci Rep. 2020;10:16520. DOI: 10.1038/s41598-020-73595-y.
Страфун СС, Гайович ВВ, Уровський ОО. Новий погляд на проблему формування та лікування контрактури Дюпюітрена. Вісник ортопедії, травматології та протезування. 2012;2:4-8.
Strafun SS, Haiovych VV, Urovskyi OO. A new look at the problem of formation and treatment of Dupuytren’s contracture. Visnyk ortopedii, travmatolohii ta protezuvannia. 2012;2:4-8. [in Ukrainian].
Misra A, Jain A, Ghazanfar R, Johnston T, Nanchahal J. Predicting the outcome of surgery for the proximal interphalangeal joint in Dupuytren’s disease. J Hand Surg Am. 2007 Feb;32(2):240-5. DOI: 10.1016/j.jhsa.2006.11.015.
Bulstrode NW, Jemec B, Smith PJ. The complications of Dupuytren’s contracture surgery. J Hand Surg Am. 2005 Sep;30(5):1021-5. DOI: 10.1016/j.jhsa.2005.05.008.
Bainbridge C, Dahlin LB, Szczypa PP, Cappelleri JC, Guérin D, Gerber RA. Current trends in the surgical management of Dupuytren’s disease in Europe: an analysis of patient charts. Eur Orthop Traumatol. 2012 Mar;3(1):31-41. DOI: 10.1007/s12570-012-0092-z.
Науменко ЛЮ. Медико-соціальна експертиза по реабілітації хворих та інвалідів з патологією верхніх кінцівок : навч.-метод. посіб. Дніпропетровськ; 2008. 780 с.
Naumenko LIu. Medical and social examination for the rehabilitation of patients and the disabled with pathology of the upper extremities: a textbook. Dnipropetrovsk; 2008. 780 s. [in Ukrainian].
Николаева ЕН, Абхази СД, Смбатян СМ. Некоторые клинико-экспертные вопросы при контрактуре Дюпюитрена. Заместитель главного врача. 2009;11:1-4.
Nikolaeva EN, Abhazi SD, Smbatyan SM. Some clinical and expert questions in Dupuytren’s contracture. Zamestitel’ glavnogo vracha. 2009;11:1-4. [in Russian].
Wilburn J, McKenna SP, Perry-Hinsley D, Bayat A. The impact of Dupuytren disease on patient activity and quality of life. J Hand Surg Am. 2013;38:1209-14.
Ng M, Thakkar D, Southam L, Werker P, Ophoff R, Becker K, et al. A genome-wide association study of Dupuytren disease reveals 17 additional variants implicated in fibrosis. Am J Hum Genet. 2017;101:417-27. DOI: 10.1016/j.ajhg.2017.08.006.
Щудло НА, Ступина ТА, Щудло ММ. Сканирующая электронная микроскопия ладонного апоневроза при контрактуре Дюпюитрена продвинутой стадии. Травматология и ортопедия России. 2019;2:150-6.
Shchudlo NA, Stupina TA, Shchudlo MM. Scanning electron microscopy of the palmar aponeurosis in advanced Dupuytren’s contracture. Travmatologiya i ortopediya Rossii. 2019;2:150-6. [in Russian].
Wade R, Igali L, Figus A. Skin involvement in Dupuytren’s disease. J Hand Surg Eur. 2016; 41:600-8. J Hand Surg (Eur Vol). 2016 Jul;41(6):667-8. DOI: 10.1177/1753193415619726.
Байтингер ВФ. Клиническая анатомия ладонного апоневроза. Вопросы реконструктивной и пластической хирургии. 2012;1(40):22-32.
Bajtinger VF. Clinical anatomy of the palmar aponeurosis. Voprosy rekonstruktivnoj i plasticheskoj hirurgii. 2012;1(40):22-32. [in Russian].
Овсянников НИ, Шунин ЕМ, Рудаков ОС, Трубицын РВ. Малоинвазивные методы лечения контрактуры Дюпюитрена. Современные научные исследования и инновации [Интернет]. 2018;10 [цитировано 2021 Июнь 08]. Доступно: https://web.snauka.ru/issues/2018/10/87837.
Ovsyannikov NI, Shunin EM, Rudakov OS, Trubicyn RV. Minimally invasive treatments for Dupuytren’s contracture. Sovremennye nauchnye issledovaniya i innovacii [Internet]. 2018;10 [cited 2021 Jun 08]. Available from: https://web.snauka.ru/issues/2018/10/87837 [in Russian].
Улищенко АА, Голубев ИО. Преимущества и недостатки различных методов лечения болезни Дюпюитрена. Вестник травматологии и ортопедии им. НН Приорова. 2017;1(2):61-5.
Ulishchenko AA, Golubev IO. Advantages and disadvantages of various treatments for Dupuytren’s disease. Vestnik travmatologii i ortopedii im. NN Priorova. 2017;1(2):61-5. [in Russian].
Бугаев ДА, Горбунков ВЯ, Иванов НН. Анализ качества стационарной медицинской помощи пациентам с контрактурой Дюпюитрена в лечебных учреждениях Ставропольского края (по данным вневедомственной экспертизы). Медицинский вестник Северного Кавказа. 2014;9(1):70-3.
Bugaev DA, Gorbunkov VYa, Ivanov NN. Analysis of the quality of inpatient medical care for patients with Dupuytren’s contracture in medical institutions of the Stavropol Territory (according to the data of a non-departmental examination). Medicinskij vestnik Severnogo Kavkaza. 2014;9(1):70-3. [in Russian].
Hurst LC. Dupuytrenís Disease. Hand Surgery Update. 1996. Chapter 26; p. 271-9.
Вergovec M, Jelicic J, Oljaca A, Bilic R. Hand function and recurrence after limited fasciectomy for Dupuytren’s contracture: Long-term follow-up. J Orthop Surg (Hong Kong). 2018 Jan-Apr;26(1):2309499018762195. DOI: 10.1177/2309499018762195.
Щудло НА, Ступина ТА, Щудло ММ, Останина ДА. Сравнительная клинико-патоморфологическая характеристика контрактуры Дюпюитрена у мужчин и женщин. Травматология и ортопедия России. 2021;27(1):166-74. DOI: 10.21823/2311-2905-2021-27-1-166-174
Shchudlo NA, Stupina TA, Shchudlo MM, Ostanina DA. Comparative clinical and pathomorphological characteristics of Dupuytren’s contracture in men and women. Travmatologiya i ortopediya Rossii. 2021;27(1):166-74. DOI: 10.21823/2311-2905-2021-27-1-166-174 [in Russian].
Уровський ОО. Прогнозування перебігу та хірургічне лікування контрактури Дюпюітрена [автореферат]. Київ; 2015. 20 с.
Urovskyi OO. Prediction of the course and surgical treatment of Dupuytren’s contracture [abstract]. Kyiv; 2015. 20 s. [in Ukrainian].
Salari N, Heydari M, Hassanabadi M. The worldwide prevalence of the Dupuytren disease: a comprehensive systematic review and meta-analysis. J Orthop Surg Res. 2020;15:495. DOI: 10.1186/s13018-020-01999-7.
Усольцева ЕВ, Машкара КИ. Хирургия заболеваний и повреждений кисти. Ленинград: Медицина; 1986. 352 с.
Usol’ceva EV, Mashkara KI. Surgery for diseases and injuries of the hand. Leningrad: Medicina; 1986. 352 s. [in Russian].
Волкова AM. Хирургия кисти. Свердловск; 1993. Т. 2; с. 10-58.
Volkova AM. Hand surgery. Sverdlovsk; 1993. Vol. 2; p. 10-58. [in Russian].
Warwick D, Thomas A, Bayat A. Dupuytren’s disease: overview of a common connective tissue disease with a focus on emerging treatment options. Inter J of Clin Rheumat. 2012;7:309-23. DOI: 10.2217/ijr.12.25
Жигало АВ. Особенности хирургической тактики при лечении больных с тяжелыми формами контрактуры Дюпюитрена [диссертация]. Санкт-Петербург; 2010. 181 с.
Zhigalo AV. Features of surgical tactics in the treatment of patients with severe forms of Dupuytren’s contracture [dissertation]. Sankt-Peterburg; 2010. 181 s. [in Russian].
Trojian TH, Chu SM. Dupuytren’s disease: diagnosis and treatment. Am Fam Physician. 2007 Jul 1;76(1):86-9. PMID: 17668844.
Cheng HS, Hung LK, Tse WL, Ho PC. Needle aponeurotomy for Dupuytren’s contracture. J Orthop Surg (Hong Kong). 2008 Apr;16(1):88-90. DOI: 10.1177/230949900801600120.
Rizzo M, Stern PJ, Benhaim P, Hurst LC. Contemporary management of dupuytren contracture. Instr Course Lect. 2014;63:131-42. PMID: 24720301.
Van Rijssen AL, Werker M. Percutaneous needle fasciotomy in dupuytren’s disease. J Hand Surg Br. 2006 Oct;31(5):498-501. DOI: 10.1016/j.jhsb.2006.03.174
Van Rijssen AL, Ter Linden H, Werker PM. Five-year results of a randomized clinical trial on treatment in Dupuytren’s disease: percutaneous needle fasciotomy versus limited fasciectomy. Plast Reconstr Surg. 2012 Feb;129(2):469-77. DOI: 10.1097/PRS.0b013e31823aea95.
Badois FJ, Lermusiaux JL, Massé C, Kuntz D. Traitement non chirurgical de la maladie de Dupuytren par aponévrotomie à l’aiguille [Non-surgical treatment of Dupuytren disease using needle fasciotomy]. Rev Rhum Ed Fr. 1993 Nov 30;60(11):808-13. PMID: 8054928. [in French].
Selles RW, Zhou C, Kan HJ, Wouters RM, van Nieuwenhoven CA, Hovius SE. Percutaneous Aponeurotomy and Lipofilling versus Limited Fasciectomy for Dupuytren’s Contracture: 5-Year Results from a Randomized Clinical Trial. Plast Reconstr Surg. 2018 Dec;142(6):1523-31. DOI: 10.1097/PRS.0000000000004982.
Kan HJ, Verrijp FW, Hovius SE, van Nieuwenhoven CA, Dupuytren Delphi Group, Selles RW. Recurrence of Dupuytren’s contracture: A consensus-based definition. PLo ONE. 2017;12(5):e0164849. DOI: 10.1371/journal.pone.0164849.
Богов АА, Муллин РИ, Филиппов ВЛ, Топыркин ВГ. Результаты применения игольчатой апоневротомии в сочетании с липофилингом в лечении контрактуры Дюпюитрена. Практическая медицина. 2016;4(1,96):59-62.
Bogov AA, Mullin RI, Filippov VL, Topyrkin VG. Results of the use of needle aponeurotomy in combination with lipofilling in the treatment of Dupuytren’s contracture. Prakticheskaya medicina. 2016;4(1,96):59-62. [in Russian].
Denkler KA, Vaughn CJ, Dolan EL, Hansen SL. Evidence-Based Medicine: Options for Dupuytren’s Contracture: Incise, Excise, and Dissolve. Plast Reconstr Surg. 2017 Jan;139(1):240e-255e. DOI: 10.1097/PRS.0000000000002857.
Coert JH, Nérin JP, Meek MF. Results of partial fasciectomy for Dupuytren disease in 261 consecutive patients. Ann Plast Surg. 2006 Jul;57(1):13-7. DOI: 10.1097/01.sap.0000205819.53215.52.
Armstrong JR, Hurren JS, Logan AM. Dermofasciectomy in the management of Dupuytren’s disease. J Bone Joint Surg Br. 2000 Jan;82(1):90-4. DOI: 10.1302/0301-620x.82b1.9808.
Draviaraj KP, Chakrabarti I. Functional outcome after surgery for Dupuytren’s contracture: a prospective study. J Hand Surg Am. 2004 Sep;29(5):804-8. DOI: 10.1016/j.jhsa.2004.05.005.
Skoff HD. The surgical treatment of Dupuytren’s contracture: a synthesis of techniques. Plast Reconstr Surg. 2004 Feb;113(2):540-4. DOI: 10.1097/01.PRS.0000101054.80392.88.
Engstrand C, Borén L, Liedberg GM. Evaluation of activity limitation and digital extension in Dupuytren’s contracture three months after fasciectomy and hand therapy interventions. J Hand Ther. 2009 Jan-Mar;22(1):21-6; quiz 27. DOI: 10.1016/j.jht.2008.08.003.
Толстик АН, Дейкало ВП. Изменения структур ладонно-пальцевой фасции при болезни Дюпюитрена. Новости хирургии. 2005;13(1-4):60-4.
Tolstik AN, Dejkalo VP. Changes in the structures of the palmar-digital fascia in Dupuytren’s disease. Novosti hirurgii. 2005;13(1-4):60-4. [in Russian].
Голубев ИО, Улищенко АА. Пассивная гиперэкстензия пальцев как фактор прогноза прогрессирования при болезни Дюпюитрена. Вопросы реконструктивной и пластической хирургии. 2018;3:42-7.
Golubev IO, Ulishchenko AA. Passive hyperextension of the fingers as a predictor of progression in Dupuytren’s disease. Voprosy rekonstruktivnoj i plasticheskoj hirurgii. 2018;3:42-7. [in Russian].
Коршунов ВФ, Магдиев ДА, Чуловская ИГ. Оперативное лечение тяжелых форм контрактуры Дюпюитрена. Травматология и ортопедия России. 2008;2:38-9.
Korshunov VF, Magdiev DA, Chulovskaya IG. Surgical treatment of severe forms of Dupuytren’s contracture. Travmatologiya i ortopediya Rossii. 2008;2:38-9. [in Russian].
Eiriksdottir A, Atroshi I. A new finger-preserving procedure as an alternative to amputation in recurrent severe Dupuytren contracture of the small finger. BMC Musculoskelet Disord. 2019;20:323. DOI: 10.1186/s12891-019-2701-2.
Толстик АН, Дейкало ВП. Технология реабилитации пациентов с выраженными сгибательными деформациями и рецидивами контрактур пальцев кисти при болезни Дюпюитрена. Новости хирургии. 2006;14(3):33-41.
Tolstik AN, Dejkalo VP. Rehabilitation technology for patients with severe flexion deformities and recurrent finger contractures in Dupuytren’s disease. Novosti hirurgii. 2006;14(3):33-41. [in Russian].
Bayat A, McGrouther DA. Management of Dupuytren’s disease--clear advice for an elusive condition. Ann R Coll Surg Engl. 2006;88(1):3-8. DOI: 10.1308/003588406X83104.
Bielecki M, Wysocki M. Rola rehabilitacji po operacyjnym leczeniu choroby Dupuytrena [The importance of rehabilitation after operative treatment of Dupuytren’s disease]. Wiad Lek. 2011;64(1):26-30. PMID: 21812360. [in Polish].
Grazina R, Teixeira S, Ramos R, Sousa H, Ferreira A, Lemos R. Dupuytren’s disease: where do we stand? EFORT Open Rev. 2019 Feb 20;4(2):63-9. DOI: 10.1302/2058-5241.4.180021.
Kitridis D, Karamitsou P, Giannaros I, Papadakis N, Sinopidis C, Givissis P. Dupuytren’s disease: limited fasciectomy, night splinting, and hand exercises-long-term results. Eur J Orthop Surg Traumatol. 2019 Feb;29(2):349-55. DOI: 10.1007/s00590-018-2340-6.
Ebskov LB, Boeckstyns ME, Sørensen AI, Søe-Nielsen N. Results after surgery for severe Dupuytren’s contracture: does a dynamic extension splint influence outcome? Scand J Plast Reconstr Surg Hand Surg. 2000 Jun;34(2):155-60. DOI: 10.1080/02844310050160024.
Larson D, Jerosch-Herold C. Clinical effectiveness of post-operative splinting after surgical release of Dupuytren’s contracture: a systematic review. BMC Musculoskelet Disord. 2008 Jul 21;9:104. DOI: 10.1186/1471-2474-9-104.
Jerosch-Herold C, Shepstone L, Chojnowski AJ, Larson D, Barrett E, Vaughan SP. Night-time splinting after fasciectomy or dermo-fasciectomy for Dupuytren’s contracture: a pragmatic, multi-centre, randomised controlled trial. BMC Musculoskelet Disord. 2011 Jun 21;12:136. DOI: 10.1186/1471-2474-12-136.
Rodrigues JN, Becker GW, Ball C, Zhang W, Giele H, Hobby J, et al. Surgery for Dupuytren’s contracture of the fingers. Cochrane Database Syst Rev. 2015 Dec 9;2015(12):CD010143. DOI: 10.1002/14651858.CD010143.pub2.
This work is licensed under a Creative Commons Attribution 4.0 International License.