Treatment of Dupuytren's Contracture at the Present Stage (Literature Review)

Dupuytren disease is widespread among the population of different countries (3 %) and affects the working-age male population to a greater extent.The progressive nature of the course of Dupuytren disease causes a persistent and significant decrease in the functional capabilities of the hands of pati...

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Autores principales:	Ch. Z. Butaev, I. A. Kuklin
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	dupuytren's contracture palmar fascial fibromatosis Science Q
Acceso en línea:	https://doaj.org/article/3f68b8dc0dda4effbedc8d5ed50137ee
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spelling	oai:doaj.org-article:3f68b8dc0dda4effbedc8d5ed50137ee2021-11-23T06:14:43ZTreatment of Dupuytren's Contracture at the Present Stage (Literature Review)2541-94202587-959610.29413/ABS.2019-4.6.11https://doaj.org/article/3f68b8dc0dda4effbedc8d5ed50137ee2019-12-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2200https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Dupuytren disease is widespread among the population of different countries (3 %) and affects the working-age male population to a greater extent.The progressive nature of the course of Dupuytren disease causes a persistent and significant decrease in the functional capabilities of the hands of patients and leads to a limitation of fine and high-precision activity on average in 67 % of patients, and in 3 % causes disability.The problem of treating patients with Dupuytren's contracture remains relevant despite the achievements ofhand surgery. A large number of applied methods speaks of both the urgency of the problem and the possibility of a comprehensive approach to treating patients with this disease at different stages and with varying degrees of severity of contracture of the fingers. Many techniques for treating Dupuytren's contracture and their modifications are described. These are extensive surgical interventions, which involve the complete excision of the palmar aponeurosis, and selective open interventions, which involve the removal of only macro-modified areas - the bundle of the palmar aponeurosis through one large or several small accesses. With the development of minimally invasive techniques, needle-based aponeurotomy methods have spread, which do not imply the removal of pathologically altered tissues, but only relieve tension in the tissue by dissecting it and thereby increase movements in the joints of the fingers. With the development of pharmacology, methods for the enzymatic destruction of the bundle of pathologically altered palmar aponeurosis have appeared.The evolution of approaches to the treatment of Dupuytren's contracture is visible in a gradual transitionfrom complete excision of the palmar aponeurosis to selective techniques, and from them to partial dissections and further to needle and enzymatic methods. However, despite the abundance of methods and good results in treating patients with this pathology, there remains a percentage of relapses, complications and adverse outcomes, the reduction of which is the purpose of developing a modern understanding of this pathology.Ch. Z. ButaevI. A. KuklinScientific Сentre for Family Health and Human Reproduction Problemsarticledupuytren's contracturepalmar fascial fibromatosisScienceQRUActa Biomedica Scientifica, Vol 4, Iss 6, Pp 72-76 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	dupuytren's contracture palmar fascial fibromatosis Science Q
spellingShingle	dupuytren's contracture palmar fascial fibromatosis Science Q Ch. Z. Butaev I. A. Kuklin Treatment of Dupuytren's Contracture at the Present Stage (Literature Review)
description	Dupuytren disease is widespread among the population of different countries (3 %) and affects the working-age male population to a greater extent.The progressive nature of the course of Dupuytren disease causes a persistent and significant decrease in the functional capabilities of the hands of patients and leads to a limitation of fine and high-precision activity on average in 67 % of patients, and in 3 % causes disability.The problem of treating patients with Dupuytren's contracture remains relevant despite the achievements ofhand surgery. A large number of applied methods speaks of both the urgency of the problem and the possibility of a comprehensive approach to treating patients with this disease at different stages and with varying degrees of severity of contracture of the fingers. Many techniques for treating Dupuytren's contracture and their modifications are described. These are extensive surgical interventions, which involve the complete excision of the palmar aponeurosis, and selective open interventions, which involve the removal of only macro-modified areas - the bundle of the palmar aponeurosis through one large or several small accesses. With the development of minimally invasive techniques, needle-based aponeurotomy methods have spread, which do not imply the removal of pathologically altered tissues, but only relieve tension in the tissue by dissecting it and thereby increase movements in the joints of the fingers. With the development of pharmacology, methods for the enzymatic destruction of the bundle of pathologically altered palmar aponeurosis have appeared.The evolution of approaches to the treatment of Dupuytren's contracture is visible in a gradual transitionfrom complete excision of the palmar aponeurosis to selective techniques, and from them to partial dissections and further to needle and enzymatic methods. However, despite the abundance of methods and good results in treating patients with this pathology, there remains a percentage of relapses, complications and adverse outcomes, the reduction of which is the purpose of developing a modern understanding of this pathology.
format	article
author	Ch. Z. Butaev I. A. Kuklin
author_facet	Ch. Z. Butaev I. A. Kuklin
author_sort	Ch. Z. Butaev
title	Treatment of Dupuytren's Contracture at the Present Stage (Literature Review)
title_short	Treatment of Dupuytren's Contracture at the Present Stage (Literature Review)
title_full	Treatment of Dupuytren's Contracture at the Present Stage (Literature Review)
title_fullStr	Treatment of Dupuytren's Contracture at the Present Stage (Literature Review)
title_full_unstemmed	Treatment of Dupuytren's Contracture at the Present Stage (Literature Review)
title_sort	treatment of dupuytren's contracture at the present stage (literature review)
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/3f68b8dc0dda4effbedc8d5ed50137ee
work_keys_str_mv	AT chzbutaev treatmentofdupuytrenscontractureatthepresentstageliteraturereview AT iakuklin treatmentofdupuytrenscontractureatthepresentstageliteraturereview
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Treatment of Dupuytren's Contracture at the Present Stage (Literature Review)

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