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2020, Number 2

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Revista Cubana de Ortopedia y Traumatología 2020; 34 (2)

Treatment outcome of Dupuytren's disease

la O LI, Bazán QM, Chacón SG, la O FH
Full text How to cite this article

Language: Spanish
References: 6
Page: 1-15
PDF size: 439.94 Kb.


Key words:

Dupuytren's contracture, treatment, final results.

ABSTRACT

Introduction: Dupuytren's disease is a contracture of the palmar fascia due to fibrous proliferation, which causes flexion deformities and loss of function of the fingers of the hand. It can also be located on the soles of the feet, the penis and other parts of the body; a large percent of cases are of unknown cause.
Objectives: To describe the variables sex, accompanying diseases, toxic habits and age of the patients studied with the condition, and to identify the complications related to the applied surgical technique.
Methods: A longitudinal descriptive observational study was carried out in patients with Dupuytren's disease, treated at Carlos Manuel de Céspedes Hospital in Bayamo, from January 2018 to December 2019. Data collection was performed through the medical records. The sample consisted of 67 patients seen in this period. For the assessment, Leuking Hung´s evaluation system was used.
Results: The disease was more frequent in males and in the group of 51 to 60 years. It is more diagnosed in smokers, diabetics and alcoholics; the most common symptoms were the presence of cords and nodules; zetaplasty surgery was the most used treatment. Surgical site infections were the main complication.
Conclusions: In more than 73% of the treated patients, acceptable results were obtained.


REFERENCES

  1. 1 . Wagner P, Román JA, Vergara J. Enfermedad de Dupuytren: revisión. Rev méd Chile. sep 2012 [citado 20 ene 2020];140(9):1185-90. doi: doi: http://dx.doi.org/10.4067/S0034-98872012000900013

  2. 2 . Junco Gelpi DA, Montoya Cardero LE, Rodríguez Cervantes M, Mustelier Medina K, Neyra Bonne G. Enfermedad de Dupuytren en un anciano. MEDISAN. Ene 2014 [citado 20 ene 2020];18(1):115-9. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192014000100016

  3. 3 . Mármol-Soler S, Espejo-Ortega L, Gutiérrez-Ortega C, García-Rosado M, Valera-Núñez A; Ramos-Lozada C, et al. Tratamiento no quirúrgico de la contractura de Dupuytren con colagenasa de Clostridium hystoliticum. Cir plást iberolatinoam. jul/sep 2013 [citado 20 ene 2020];39(3). doi: doi: http://dx.doi.org/10.4321/S0376-78922013000300006

  4. 4 . Laulan J, Marteau E, Bacle G. Enfermedad de Dupuytren. Técnicas Quirúrgicas - Ortopedia y Traumatología. 2017 [citado 10 ene 2020];9(4):1-16. doi: doi: https://doi.org/10.1016/S2211-033X(17)86873-0

  5. 5 . Henao Ruiz JE, Ospina Vargas D, Idarraga López DA, García Ospina DA, Quintana Duque MA. Contractura de Dupuytren. Estudio de 33 casos en Colombia, Rev Colomb Reumatol. 2019 [citado 20 ene 2020];26(2):140-4. Disponible en: Disponible en: http://www.scielo.org.co/pdf/rcre/v26n2/0121-8123-rcre-26-02-140.pdf

  6. 6 . Contractura de Dupuytren. Mayo Clinic Family Health Book (Libro de Salud Familiar de Mayo Clinic). 5ª ed., 2018 [citado 20 ene 2020]. Disponible en: Disponible en: https://www.mayoclinic.org/es-es/diseases-conditions/dupuytrens-contracture/symptoms-causes/syc-20371943




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C?MO CITAR (Vancouver)

Revista Cubana de Ortopedia y Traumatología. 2020;34