Kocaeli Med J. 2017; 6(3): 50-53

Retrospective Assessment of Dupuytren’s Contracture Patients with Partial Fasciectomy

Ümit Gök¹, Alper Gültekin², Nazlý Demir Gök^3
1Ýzmit Seka State Hospital, Department of Orthopedics and Traumatology, Kocaeli
²Derince Education and Research Hospital, Orthopedics and Traumatology Clinic, Kocaeli
³Ýzmit Seka State Hospital, Department of Pathology, Kocaeli

INTRODUCTION: The aim of this study is analysing the Dupuytren’s Contracture patients retrospectively who underwent partial fasciectomy.
METHODS: We analyze 20 patients retrospectively who underwent surgery between March 2012 to March 2016 at our department.
RESULTS: 14 patients were men (70%); 6 patients were women (30%) (Male / female ratio 2,33/1). The youngest one of patients was 23 years old and the oldest one was 78 years old. Mean age was 58,35 in men and 56,16 in women. 1 patients had bilateral hand involvement (5%) and 19 patients had one hand involvement(95%). 8(42,1%) of them were operated from the left hand; 11 of them (57,9%) were operated by the right hand. The mean measure of excision material is 26,5 mm ( min/max: 10-40 mm ). Mean follow-up is 30,65 month (11-50 month). There was recurrence in 2 patients (10%).
DISCUSSION AND CONCLUSION: Even in advanced cases, we believe that partial fasciectomy may be a safe and successful method for the treatment of Dupuytren Contracture.

Keywords: Dupuytren's contracture, Partial fasciectomy, Palmar fibrosis.

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Dupuytren Kontraktürü Nedeniyle Parsiyel Fasyektomi Uygulanan Hastalarýn Retrospektif Deðerlendirilmesi

Ümit Gök¹, Alper Gültekin², Nazlý Demir Gök^3
1Ýzmit Seka Devlet Hastanesi, Ortopedi ve Travmatoloji Bölümü, Kocaeli
²Derince Eðitim ve Araþtýrma Hastanesi, Ortopedi ve Travmatoloji Kliniði, Kocaeli
³Ýzmit Seka Devlet Hastanesi, Patoloji Bölümü, Kocaeli

GÝRÝÞ ve AMAÇ: Kliniðimizde parsiyel fasyektomi yöntemi ile tedavi edilen Dupuytren kontraktürlü hastalarýn postoperatif sonuçlarýnýn deðerlendirilmesidir.
YÖNTEM ve GEREÇLER: Mart 2012- Mart 2016 yýllarý arasýnda kliniðimizde Dupuytren kontraktürü nedeniyle parsiyel fasyektomi ile opere edilen 20 hasta retrospektif olarak incelendi.
BULGULAR: Hastalarýn 14’ü erkek (%70); 6’sý (%30) kadýn idi (erkek/kadýn oraný: 2,33/1). Hastalarýn en küçüðü 23 yaþýnda; en büyüðü 78 yaþýnda idi. Erkeklerde yaþ ortalamasý 58,35 yaþ; kadýnlarda 56,16 yaþ olarak bulundu. 1 hasta (%5) çift taraflý el tutulumu nedeniyle opere edildi. 19 hasta ise (% 95) tek taraflý el tutulumu nedeniyle ameliyat edildiler. Tek taraflý el tutulumu olanlarýn 8 tanesi (%42, 1) sol elinden; 11 tanesi (%57,9) sað elinden opere edildi. Eksize edilen fibrosis dokusu ortalama 26,5 mm idi (min/max: 10-40 mm). Ortalama takip süresi 30,65 ay idi (11-50 ay). 2 hastada rekürrens görüldü (%10).
TARTIÞMA ve SONUÇ: Ýleri olgularda bile parsiyel fasyektomi tercihinin dupuytren kontraktürü tedavisinde güvenli ve baþarýlý bir yöntem olabileceði kanaatindeyiz.

Anahtar Kelimeler: Dupuytren kontraktürü, Parsiyel fasyektomi, Palmar fibrozis.

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