{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:33:05Z","timestamp":1740166385371,"version":"3.37.3"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Dupuytren's disease decreases quality of life significantly and often requires surgical treatment, nevertheless there is no actual gold standard. The aim of this study was to introduce the use of minimally invasive pull-through technique.<\/jats:p><jats:p>\n          Methods\u2003From 2016 to 2020, 52 patients suffering from Dupuytren's contracture were treated with the minimally invasive pull-through technique. We evaluated the improvement in range of motion, pain, disability, and quality of life in the long term. Total extension deficit, quick disabilities of the arm, shoulder, and hand (QuickDASH), and EuroQol five dimensions\u2014five levels index were systematically scored before each surgical intervention and reevaluated after 24 months.<\/jats:p><jats:p>\n          Results\u2003Fourteen patients (26.9%) had already received a previous intervention (percutaneous needle aponeurotomy or collagenase Clostridium histolyticum). The mean preoperative total active extension deficit was 84.0\u2009\u00b1\u200923.3\u2009degrees (55\u2013130\u2009degrees). Mean follow-up was 36 months. There were no cases of tendon rupture or neurovascular injury. Total active extension deficit at the final follow-up was 3.4\u2009\u00b1\u20092.3\u2009degrees (0\u201312\u2009degrees). The mean active range of motion of the MCP and PIP joints were, respectively, 90.5\u2009\u00b1\u20093.3\u2009degrees (85\u201396\u2009degrees) and 82.7\u2009\u00b1\u20092.5\u2009degrees (80\u201387\u2009degrees). At 24 months after cord excision, a mean 10.7 points improvement in the QuickDASH questionnaire was registered (p\u2009&lt;\u20090.001). Pull-through technique was equally effective both on patients with a primary or a recurrent disease. Eight patients (15.4%) had a recurrence of disease in the metacarpophalangeal joint or proximal interphalangeal joint.<\/jats:p><jats:p>\n          Conclusion\u2003The pull-through technique is a simple, accessible, and effective technique for the treatment of Dupuytren's contracture. The use of palmar mini-incisions combined with minimal dissection has a low risk of iatrogenic injury to the neurovascular bundles and tendons, and has a low risk of recurrence rate. This study reflects level of evidence IV.<\/jats:p>","DOI":"10.1055\/s-0043-1775882","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T23:55:17Z","timestamp":1709596517000},"page":"295-303","source":"Crossref","is-referenced-by-count":0,"title":["Dupuytren's Disease: A Novel Minimally Invasive Pull-Through Technique"],"prefix":"10.1055","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2122-2732","authenticated-orcid":false,"given":"Michele","family":"Maruccia","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1353-2052","authenticated-orcid":false,"given":"Pasquale","family":"Tedeschi","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Sisto","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Converti","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3883-8901","authenticated-orcid":false,"given":"Giuseppe","family":"Giudice","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6094-5159","authenticated-orcid":false,"given":"Rossella","family":"Elia","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,3,4]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"52","DOI":"10.3928\/01477447-20111122-23","article-title":"Dupuytren's disease","volume":"35","author":"M Worrell","year":"2012","journal-title":"Orthopedics"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1016\/j.jhsa.2011.03.002","article-title":"The treatment of Dupuytren disease","volume":"36","author":"S S Desai","year":"2011","journal-title":"J Hand Surg 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A systematic literature review","volume":"36","author":"C Krefter","year":"2017","journal-title":"Hand Surg Rehabil"},{"issue":"05","key":"ref20","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/j.jhsa.2006.02.021","article-title":"A comparison of the direct outcomes of percutaneous needle fasciotomy and limited fasciectomy for Dupuytren's disease: a 6-week follow-up study","volume":"31","author":"A L van Rijssen","year":"2006","journal-title":"J Hand Surg Am"},{"key":"ref21","first-page":"A129","article-title":"Treatment of Dupuytren's contracture; an overview of options [in Dutch]","volume":"153","author":"A L van Rijssen","year":"2009","journal-title":"Ned Tijdschr Geneeskd"},{"issue":"05","key":"ref22","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S0266-7681(03)00013-5","article-title":"Percutaneous needle aponeurotomy: complications and results","volume":"28","author":"G Foucher","year":"2003","journal-title":"J Hand Surg 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