{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:04:26Z","timestamp":1777662266542,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T00:00:00Z","timestamp":1685664000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The Digit Widget is an external fixation device that can be used to reverse proximal interphalangeal joint (PIPJ) contractures in the hand. Our hypothesis is that usage of the Digit Widget prior to fasciectomy in patients with severe Dupuytren\u2019s proximal interphalangeal (PIP) contractures will result in short-term improvement and maintenance of the PIPJ contracture after fasciectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who underwent placement of the Digit Widget soft tissue distractor prior to fasciectomy for Dupuytren\u2019s disease were identified between January 2015 and December 2018. Multiple fingers were considered separately. Patient Reported Outcome Measurement Information System (PROMIS) Physical Function (PF), Pain Interference, and Depression scores were collected. Patients treated for contractures from etiologies other than Dupuytren\u2019s were not included. Multiple linear regression was used to compare initial PIP contractures, PF scores, and final contractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 28 fingers in 24 patients with average age of 56 \u00b1 12 (30.5-69.9) years. Initial mean PIPJ contracture was 81\u00b0 (50\u00b0-120\u00b0), which had corrected to 23\u00b0 at time of removal. Average time between application and fasciectomy was 58 (28-112) days. At final follow-up, average 449 (58-1641) days, the average contracture was 39\u00b0 (0\u00b0-105\u00b0). Contracture immediately following fasciectomy was found to be strongly correlated with the contracture at final follow-up. There was no statistical relationship between final PROMIS PF scores and final change in contracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Digit Widget external fixation is an effective treatment for the correction of advanced PIPJ contractures related to Dupuytren\u2019s disease, with an average of 52% improvement in contracture at 15 months.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447231175512","type":"journal-article","created":{"date-parts":[[2023,6,3]],"date-time":"2023-06-03T02:19:37Z","timestamp":1685758777000},"page":"1293-1299","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["External Fixation Prior to Fasciectomy Leads to Substantial Improvement of Advanced Dupuytren\u2019s PIP Contractures at Mean Follow-up 15 Months"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4195-4348","authenticated-orcid":false,"given":"Bowen","family":"Qiu","sequence":"first","affiliation":[{"name":"University of Rochester Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7767-4124","authenticated-orcid":false,"given":"Warren","family":"Hammert","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Wilbur","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.04.029"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(94)90220-8"},{"issue":"3","key":"e_1_3_2_4_2","first-page":"247","article-title":"The TEC treatment (continuous extension technique) for severe Dupuytren\u2019s contracture of the fingers","volume":"10","author":"Messina A","year":"1991","unstructured":"Messina A, Messina J. 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