{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T04:57:50Z","timestamp":1695358670610},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T00:00:00Z","timestamp":1688947200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Der Morbus Dupuytren f\u00fchrt bei betroffenen Patienten\n                    h\u00e4ufig zu einer zunehmenden Extensionseinschr\u00e4nkung der Finger.\n                    Da die Inzidenz im Alter zunimmt, ist auf Grund des demographischen Wandels mit\n                    einer Zunahme von diesen Dupuytren\u2019schen Kontrakturen zu rechnen.\n                    Deshalb besteht weiterhin der Bedarf an einer einfachen und\n                    patientenorientierten Behandlung.In dieser Studie wurden die kurz- und\n                    mittelfristigen Ergebnisse nach perkutaner Nadelfasziotomie (PNF)\n                    untersucht.<\/jats:p><jats:p>\n          Patienten und Methoden An der Studie nahmen insgesamt 40 Patienten teil,\n                    bei denen 65 Finger mittels PNF behandelt wurden. Es wurde das totale passive\n                    Extensionsdefizit (TPED), das passive Extensionsdefizit der einzelnen Gelenke\n                    (PED), der Buck-Gramcko-Score, die Rezidivrate, der DASH-score und die\n                    Patientenzufriedenheit untersucht. Hierbei wurde ein Rezidiv als\n                    Verschlechterung des TPED um 30\u00b0 oder mehr definiert. Das mittlere\n                    Patientenalter betrug 65,9 Jahre. Die Mehrzahl der Patienten war\n                    m\u00e4nnlich (82%).<\/jats:p><jats:p>\n          Ergebnisse Direkt nach der Intervention zeigt sich eine signifikante\n                    Verbesserung der Streckf\u00e4higkeit (TPED vor PNF\n                    74,6\u00b0\u00b141,1 Standardabweichung (SD) auf\n                    32,8\u00b0\u00b129,0\u2009SD nach Intervention), die sich bei der\n                    Nachuntersuchung nach 30,2\u00b113,9\u2009SD Monaten im Durchschnitt\n                    wieder leicht verschlechtert zeigte (TPED\n                    52,7\u00b0\u00b140,2\u2009SD). Die Rezidivrate betrug 29,7%,\n                    wobei ein h\u00f6heres Tubiana-Stadium vor der Prozedur mit einer signifikant\n                    h\u00f6heren Redzivrate einherging. Trotzdem zeigte sich eine hohe\n                    Patientenzufriedenheit und fast alle Patienten w\u00fcrden retrospektiv die\n                    PNF erneut durchf\u00fchren lassen.<\/jats:p><jats:p>\n          Schlussfolgerung Die PNF stellt weiterhin trotz relativ hoher Redzidivrate\n                    eine effektive und patientenorientierte Behandlung der Dupuytren\u2019schen\n                    Kontraktur dar.<\/jats:p>","DOI":"10.1055\/a-2055-1592","type":"journal-article","created":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T23:04:45Z","timestamp":1689030285000},"page":"330-335","source":"Crossref","is-referenced-by-count":0,"title":["Mittelfristige Ergebnisse nach perkutaner Nadelfasziotomie bei Morbus\n                    Dupuytren"],"prefix":"10.1055","volume":"55","author":[{"given":"Emmanouil","family":"Nichlos","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, Hand und Rekonstruktive Chirurgie,\n                    Varisano Krankenhaus, Bad Soden, Bad Soden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olaf","family":"W\u00f6lfle","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, Hand und Rekonstruktive Chirurgie,\n                    Varisano Krankenhaus, Bad Soden, Bad Soden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingo","family":"Marzi","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Frankfurt am Main, Frankfurt am Main,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Frank","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Frankfurt am Main, Frankfurt am Main,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Sommer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Frankfurt am Main, Frankfurt am Main,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,7,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1007\/s00132-017-3384-8","article-title":"Epidemiologie des Morbus Dupuytren","volume":"46","author":"P Hahn","year":"2017","journal-title":"Orthopade"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e204","DOI":"10.3346\/jkms.2018.33.e204","article-title":"The Epidemiology of Dupuytren\u2019s Disease in Korea. 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Current Treatment Methods","volume":"19","author":"G Feldman","year":"2017","journal-title":"Isr Med Assoc J"},{"key":"ref5","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-642-22697-7","volume-title":"Dupuytren\u2019s Disease and Related Hyperproliferative Disorders","author":"C Eaton","year":"2012"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1007\/s11552-010-9306-4","article-title":"Prevalence, incidence, and treatments of Dupuytren\u2019s disease in the\n                    United States. Results from a population-based study","volume":"6","author":"D B Dibenedetti","year":"2011","journal-title":"Hand (N Y)"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1177\/1753193417695996","article-title":"Radiotherapy in Dupuytren\u2019s disease. 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An analysis of patient charts","volume":"3","author":"C Bainbridge","year":"2012","journal-title":"Eur Orthop Traumatol"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.17779.1","article-title":"Recent advances in the understanding of Dupuytren\u2019s disease","volume":"8","author":"T Layton","year":"2019","journal-title":"F1000Res"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"2086","DOI":"10.1016\/j.bjps.2020.08.037","article-title":"Percutaneous needle fasciotomy for Dupuytren\u2019s disease. 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