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A comprehensive approach including a new enlargement technique to prevent
complications after De Quervain tendinopathy surgery

PERNO-IOANNA D; PAPALOIZOS M
HAND SURG REHABIL , 2016, vol. 35, n° 3, p. 183-189
Doc n°: 181794
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.hansur.2016.03.002
Descripteurs : DD861 - TRAITEMENT CHIRURGICAL - MAIN-DOIGTS

The goal of this study was to evaluate the outcome of our surgical approach aimed
at preventing complications following surgery for De Quervain tendinopathy. Our
stepwise surgical procedure is described in detail. We reviewed 56 cases operated
by a senior surgeon over 5years, and re-evaluated them with a minimum 15months'
follow-up. Complications mentioned in the literature
(poor wound healing,
adhesions, nerve injury, incomplete decompression, tendon subluxation) were not
present in any of the cases; the satisfaction rate was very high. Slight residual
discomfort was noted in 16 cases. Among them, 13 had an associated pathology. In
summary, the outcome after the comprehensive approach presented here is highly
predictable. Properly applied, good to excellent results can be expected in most
patients. Potential postoperative complications are effectively prevented. Some
caution is needed in cases of associated pathologies.
CI - Copyright (c) 2016 SFCM. Published by Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS

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