Severe contractures of the proximal interphalangeal joint in Dupuytren's disease: Results of a prospective trial of operative correction and dynamic extension splinting
Abstract
In a prospective study, 23 proximal interphalangeal joints that were severely contracted (> or = 45 degrees) as a result of Dupuytren's disease underwent operative correction and 6 months of dynamic extension splinting. Proximal interphalangeal joint extension was measured preoperatively and postoperatively at 3-month intervals for 1 year and at 6-month intervals thereafter. Mean follow-up was 2 years (minimum, 1 year). Overall, at 2 years, 44% improvement in proximal interphalangeal joint extension was noted. Mean improvement of 59% in proximal interphalangeal joint extension was noted in patients who complied with the postoperative dynamic extension splinting program. Patients who were noncomplaint demonstrated a 25% improvement in proximal interphalangeal joint extension. The difference in values between patients who were compliant and those who were not was statistically significant. Other factors--severity of contracture, digit involved, and the necessity for capsular release--were not significantly related to outcome. This study suggests that soft tissue responds to continuous dynamic extension stresses and can be remodeled over time.
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The association between the number of logins and outcomes in e-therapies targeting physical health is similar to the positive relationship observed between session attendance and outcome in physical rehabilitation and to the dose-response curve seen in medication therapy.
“The association between the number of logins and outcomes in e-therapies targeting physical health is similar to the positive relationship observed between session attendance and outcome in physical rehabilitation [67-70] and to the dose–response curve seen in medication therapy.”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [68]
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A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies
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- Authors
- Rives, K., Gelberman, R., Smith, B., & Carney, K.
- Affiliations
- Massachusetts General Hospital (US)
- Corresponding author
- Gelberman, Richard
- ORCID
- Gelberman, Richard
- Venue
- The Journal of Hand Surgery
- Publisher
- Elsevier BV
- Published
- 1992-11
- Volume
- 17
- Issue
- 6
- Pages
- 1153-1159
- ISSN
- 0363-5023 (ISSN-L)
- OpenAlex
- W2118504363
- Cited by
- 75
- References
- 18
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 5 · 2016: 5 · 2015: 5 · 2014: 3 · 2013: 5 · 2012: 5
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal Of Hand Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Dupuytren's Contracture and Treatments
- Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Developmental Biology › Congenital limb and hand anomalies
- Keywords
- Dupuytren's contracture, proximal interphalangeal joint contracture, operative correction, joint extension, soft tissue remodeling, capsular release
- MeSH terms
- Adult, Aged, Dupuytren Contracture, Female, Finger Joint, Follow-Up Studies, Humans, Male, Middle Aged, Patient Compliance, Prospective Studies, Severity of Illness Index, Splints, Range of Motion, Articular, Treatment Outcome
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