Palmar fascia fibromatosis (Dupuytren)
Conditions
Interventions
Experimental group: 2 technical patients diagnosed with Dupuytren's disease, divided into two groups, randomly selected, will be included in an open partial fasciectomy surgery by Bruner and by the Mc
Sponsors
Universidade Federal de São Paulo
Luiz Guilherme de Saboya Lenzi
Eligibility
Inclusion criteria
Inclusion criteria: Patients with a previous diagnosis of Dupuytren's disease, indication for surgical treatment, both sexes, older than 40 years, who agree to participate in the research, prior signature of the free and informed consent form
Exclusion criteria
Exclusion criteria: Patients under 40 years of age, without clinical conditions to undergo surgical treatment, presence of previous trauma to the hand and wrist that will undergo surgical treatment, previous hand and wrist surgery that will undergo surgical treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Presentation of the expected outcome: hoping to find a better evaluation in comparison between the two evaluated techniques, it was observed that the McCash technique presents superiority compared to the Bruner technique, scar quality and patient satisfaction after partial fasciectomy surgery in patients with Dupuytren's disease | — |
Secondary
| Measure | Time frame |
|---|---|
| Presentation of outcome 2 found: The mean age of patients was 61 years, most of the sample (72.2%) was composed of white patients, and their main comorbidity was Diabetes Mellitus (27.7%). A total of 17 patients were alcoholics and 15 patients were smokers. The operated side was dominant in 46 patients (64%). There was great variation in the time of onset of the disease, with an average of 6 years. A total of 40 patients (57%) reported manual labor. Eight patients had Ledderhose disease and only one patient had Peyronie's disease.;Presentation of the outcome 3 found: The McCash incision technique proved to be superior to the Bruner technique in relation to the occurrence of postoperative complications, in most types of complications observed, being statistically significant in its sample calculation. However, in terms of postoperative pain, there is pain superiority in the McCash group.;Presentation of the outcome 4 found: The Mann-Withney test showed a significant difference between the Bruner and McCash groups, in relation to all scales, with statistically significant differences from the results of the Mann-Withney test, on the visual analog scale, on the Vancouver scale and on the POSAS scale, both on the part of the observer and on the part of the patient. | — |
Countries
Brazil
Contacts
Public ContactFlavio Faloppa
Universidade Federal de São Paulo
Outcome results
None listed