{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:16:10Z","timestamp":1777662970093,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"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.)"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Advanced Dupuytren\u2019s contracture of the little finger is challenging due to irreversible soft tissue shortening. Conventional options such as limited fasciectomy or dermofasciectomy often yield limited function and high recurrence. Shortening arthrodesis of the proximal interphalangeal joint is usually a salvage procedure; its role as primary treatment is underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective single-center study (2019-2024) included patients with severe (Tubiana stage III-IV) little finger contracture treated with primary proximo-distal interphalangeal arthrodesis (PDIP) plus limited fasciectomy. Outcomes \u22651 year postoperatively included metacarpophalangeal range of motion, grip strength, Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), visual analog scale (VAS) pain, bone fusion, complications, and recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twelve patients were included. The mean preoperative contracture was 148\u00b0. At follow-up, mean metacarpophalangeal flexion was 99\u00b0, and full adduction was restored in 9 of 12 cases. All achieved radiographic fusion, with 42% fused by 6 to 8 weeks and all by 12 weeks. Mean QuickDASH improved from 21 to 5 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .004); median VAS pain decreased from 1 to 0 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .09). Complications were limited to 1 superficial infection, 1 early recurrence, and 1 adjacent-digit contracture.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Primary PDIP arthrodesis with limited fasciectomy is a safe, effective first-line option for advanced little finger Dupuytren\u2019s contracture, providing reliable correction, solid fusion, and functional recovery in a single stage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447261433065","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T06:05:37Z","timestamp":1776060337000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Primary Proximo-Distal Arthrodesis for Severe Dupuytren\u2019s Contracture of the Little Finger: A Prospective Cohort Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1661-3417","authenticated-orcid":false,"given":"Caro","family":"Roten","sequence":"first","affiliation":[{"name":"AZ Delta, Roeselare, Belgium"},{"name":"KU Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5903-8597","authenticated-orcid":false,"given":"Stien","family":"Hoskens","sequence":"additional","affiliation":[{"name":"KU Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0097-8749","authenticated-orcid":false,"given":"Kira","family":"Vande Voorde","sequence":"additional","affiliation":[{"name":"AZ Delta, Roeselare, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1861-601X","authenticated-orcid":false,"given":"Kjell","family":"Van Royen","sequence":"additional","affiliation":[{"name":"AZORG, Aalst, Belgium"},{"name":"UZ Brussel, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2456-9798","authenticated-orcid":false,"given":"Arne","family":"Decramer","sequence":"additional","affiliation":[{"name":"AZ Delta, Roeselare, Belgium"},{"name":"KU Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0157-3316","authenticated-orcid":false,"given":"Bert","family":"Vanmierlo","sequence":"additional","affiliation":[{"name":"AZ Delta, Roeselare, Belgium"},{"name":"Hasselt University, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2021.07.005"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2018.12.003"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)38630-3"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(87)80291-5"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2023.04.005"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.03.036"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2016.06.003"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.09.006"},{"issue":"3","key":"e_1_3_3_10_2","first-page":"242","article-title":"Pain in Dupuytren disease: its prevalence and relationship to contracture severity","volume":"7","author":"Bainbridge C","year":"2012","unstructured":"Bainbridge C, Izadpanah A, Kahn LC, et al. Pain in Dupuytren disease: its prevalence and relationship to contracture severity. Hand. 2012;7(3):242-246.","journal-title":"Hand"},{"issue":"3","key":"e_1_3_3_11_2","first-page":"555","article-title":"Pain in Dupuytren\u2019s disease","volume":"86","author":"Vandecasteele L","year":"2020","unstructured":"Vandecasteele L, Degreef I. Pain in Dupuytren\u2019s disease. Acta Orthop Belg. 2020;86(3):555-562.","journal-title":"Acta Orthop Belg"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7538.397"},{"issue":"3","key":"e_1_3_3_13_2","first-page":"513","article-title":"Recurrence of Dupuytren\u2019s contracture: a systematic review","volume":"133","author":"Lanting R","year":"2014","unstructured":"Lanting R, van den Heuvel ER, Werker PM. Recurrence of Dupuytren\u2019s contracture: a systematic review. Plast Reconstr Surg. 2014;133(3):513-522.","journal-title":"Plast Reconstr Surg"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.02.021"},{"issue":"1","key":"e_1_3_3_15_2","first-page":"86","article-title":"Dupuytren\u2019s disease: diagnosis and treatment","volume":"76","author":"Trojian TH","year":"2007","unstructured":"Trojian TH, Chu SM. Dupuytren\u2019s disease: diagnosis and treatment. Am Fam Physician. 2007;76(1):86-89.","journal-title":"Am Fam Physician"},{"issue":"5","key":"e_1_3_3_16_2","first-page":"950","article-title":"Fasciectomy and dermofasciectomy for Dupuytren\u2019s contracture","volume":"36","author":"Chen NC","year":"2011","unstructured":"Chen NC, Ring D. Fasciectomy and dermofasciectomy for Dupuytren\u2019s contracture. 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PLoS ONE. 2022;17(1):e0262346.","journal-title":"PLoS ONE"},{"issue":"1","key":"e_1_3_3_19_2","first-page":"53","article-title":"External distraction in treatment of severe Dupuytren\u2019s contracture","volume":"52","author":"Werlinrud JC","year":"2018","unstructured":"Werlinrud JC, Lauritzen JS, Bicknell RT. External distraction in treatment of severe Dupuytren\u2019s contracture. 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