{Reference Type}: Journal Article
{Title}: Ultrasound-guided aponeurotomy and interphalangeal joint capsular release for treatment of Dupuytren's disease.
{Author}: Villanueva M;Iborra Á;Fahandezh-Saddi H;Sanz-Ruiz P;Noriega C;
{Journal}: J Hand Surg Eur Vol
{Volume}: 47
{Issue}: 7
{Year}: 07 2022
暂无{DOI}: 10.1177/17531934221083815
{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.