Surgical treatment of dupuytren’s contracture: Results and complications of surgery
Dr. Raza Farooqui, Dr. Jyoti Yadav Dr. Shivangi Middha, Dr. Mukesh Saini, Dr. Bhupender Kumar
Aim: The aim of the study was to analyse the outcome of surgical treatment of Dupuytren’s contracture. Material and Method: The study period was from 2018 July-2019 September and evaluation was performed on 25 patients. Limited fasciectomy was performed in all patients. In regard to contractures, all the patients in our study had involvement of metacarpophalyngeal joints. In regional fasciectomies redial, ulnar and median nerve blocks were used at wrist. Patients were routinely put on plaster of paris volar slabs at the end of Surgery and were advised to keep it for 1 day and were discharged the same day with the advice to keep the hand elevated for 2 days. Patients were advised to use the hand for light activities by 1 week and routine activity as soon as the sutures are out. All the patients were followed up regularly for the assessment of results of treatment and development of complications like post-operative haematoma, wound infection, post-operative edema or stiffness, recurrence of disease etc. Results: In our study excellent results were observed in 23 patients (76.66%), good results in 6 patients (20%) and fair results in 1 patient (3.33%). Conclusion: The results and complications of surgical correction as were observed in our study, emphasizes that correct surgical technique and meticulous post-operative care is needed to achieve higher rates of correction and to limit the complication and recurrence. The data generated from the present study concludes that NAC improves the clinical features, biochemical markers of insulin resistance, hormonal levels, anovulation and consequently the long-term health status of women with PCOS through inhibition of oxidative stress and improvement of peripheral insulin more effectively when compared with metformin. Due to the lack of adverse effects, NAC can be regarded as an appropriate substitute for insulin-reducing medications in the treatment of PCOS patients.
Dr. Raza Farooqui, Dr. Jyoti Yadav Dr. Shivangi Middha, Dr. Mukesh Saini, Dr. Bhupender Kumar. Surgical treatment of dupuytren’s contracture: Results and complications of surgery. International Journal of Medical and Health Research, Volume 6, Issue 3, 2020, Pages 134-136