title: The association between intraoperative correction of Dupuytren's disease and residual postoperative contracture.
abstract: The purpose of this study was to determine whether preoperative contracture and the amount of intraoperative correction can be used to predict the postoperative outcome of fasciectomy for Dupuytren's disease. A prospective study of 52 patients undergoing primary fasciectomy during an 18 month period was undertaken. The contracture of each joint was measured preoperatively, after fasciectomy during the operation and 6 months after surgery. Forty-two metacarpophalangeal (MCPJ) and 58 proximal interphalangeal (PIPJ) joints were treated surgically. Full intraoperative correction was achieved in 41 MCPJs. Thirty-seven had full correction at follow-up. Full intraoperative correction was obtained in 35 PIPJs and 13 had complete correction at follow-up. The extent of the preoperative deformity was a significant predictor of complete intraoperative correction. The extent of both preoperative deformity and intraoperative correction were significant predictors of loss of surgical correction after operation.
authors.affiliation: Trauma and Orthopaedic Surgery, University Hospitals Bristol NHS Foundation Trust, Bristol, UK. ollydonaldson@hotmail.com
authors.forename: O W
authors.initials: OW
authors.lastname: Donaldson
authors.forename: D
authors.initials: D
authors.lastname: Pearson
authors.forename: R
authors.initials: R
authors.lastname: Reynolds
authors.forename: R K
authors.initials: RK
authors.lastname: Bhatia
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003286:Contracture; D004387:Dupuytren Contracture / Q000601:surgery*; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011446:Prospective Studies; D013165:Splints; D016896:Treatment Outcome