DUPUYTREN'S DISEASE.


RESULTS OF A STUDY MANAGED IN 1995.


992 hands treated by needle fasciotomy.


MATERIALS:

799 Patients
992 Hands
1557 Sessions
3736 Aponevrotomies


ADVERSE EVENTS / ACCIDENTS :


Cracks/ breaks of the skin....... : 75
Minor nerve injuries................. : 29
Chronic pains............................ : 12
Minor infections........................ : 7
Faintness................................... : 6
Inflammatory reactions ........... : 4
Hematomas............................... : 3
Flexor tendon ruptures ............ : 2 (0,05 % of aponevrotomies)




TOTAL : 138.
8,9 % of sessions and 3,7 % of aponevrotomies.

 


 

RESULTS

 

BAD..............(Pourcentage of amelioration < 50%)............ = 64 Hands = 6,4 %

MEDIUM .......(50% > Percentage of amelioration < 70%)..= 126 Hands = 12,7 %,

19,1 % of BAD results


GOOD......................(70 %> Percentage of amelioration <90%)..= 295 Hands = 29,8 %

EXCELLENT...........(Percentage of amelioration > 90%)..............= 507 Hands = 51,1 %,

80,9 % of GOOD results.

 

 



Number of hands STAGE 1 STAGE 2 STAGE 3 STAGE 4
Excellent 321 134 45 7
Good 52 116 91 36
Medium 19 52 36 19
Bad 11 20 19 14
Total 403 322 191 76


 

Poucentage STAGE 1 STAGE 2 STAGE 3 STAGE 4
Excellent 79,7 % 41,6 % 23,6 % 9,2 %
Good 12,9 % 36,1 % 47,6 % 47,3 %
Medium 4,7 % 16,1 % 18,9 % 25,0 %
Bad 2,7 % 6,2 % 9,9 % 18,5 %


 

RESULTS STAGE 1 STAGE 2 STAGE 3 STAGE 4
GOOD 92,6 % 77,7 % 71,2 % 56,5 %
BAD 7,4 % 22,3 % 28,8 % 43,5 %



 

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