Abstract：
This study describes a new ultrasound-guided surgical technique for aponeurotomy and interphalangeal joint capsular release in patients with Dupuytren\'s disease and analyses the clinical outcomes. We carried out a retrospective review of 70 digits in 35 patients who underwent ultrasound-guided aponeurotomy and interphalangeal joint capsular release, with a minimum follow-up of 2 years. The primary outcome was the correction of the deformity and the QuickDASH questionnaire score after surgery and at 1 and 2 years. The secondary outcome was the presence of residual contracture immediately after surgery. The mean QuickDASH score fell from 28 before surgery to 14 after surgery. A significant decrease of -63° was observed for the global contracture, -35° the metacarpophalangeal joint contracture and -28° for the proximal interphalangeal joint contracture. Ultrasound-guided aponeurotomy and interphalangeal joint capsular and palmar plate releases are highly accurate and safe.Level of evidence: IV.
摘要：
这项研究描述了一种新的超声引导的手术技术，用于Dupuytren病患者的aponeutomy切开术和指间关节囊松解术，并分析了临床结果。我们对35例接受超声引导下单节切开术和指间关节囊松解术的患者的70位手指进行了回顾性研究，至少随访2年。主要结果是矫正畸形和手术后1年和2年的QuickDASH问卷评分。次要结果是术后立即存在残余挛缩。平均QuickDASH评分从手术前的28下降到手术后的14。观察到全球挛缩的显着下降-63°，掌指关节挛缩-35°，指间关节挛缩-28°。超声引导下的单节切开术和指间关节囊和掌板释放是高度准确和安全的。证据级别：IV。
