Tissue adaptation rate in the treatment of Dupuytren contracture

Robert Bram Giesberts; Anne Marjan ter Haar; Gerrit Martijn Sanderman; Edsko Evert Geert Hekman; Gijsbertus Jacob Verkerke

doi:10.1016/j.jht.2018.09.014

Tissue adaptation rate in the treatment of Dupuytren contracture

Robert Bram Giesberts^*, Anne Marjan ter Haar, Gerrit Martijn Sanderman, Edsko Evert Geert Hekman, Gijsbertus Jacob Verkerke

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

3 Citations (Scopus)

132 Downloads (Pure)

Abstract

Study Design: Basic research (cross-sectional). Introduction: Dupuytren disease can cause disabling contractures of the finger joints. After partial fasciectomy, postoperative hand splinting helps to maintain extension range of motion.

Purpose of the Study: To measure how the contraction forces of the finger on the splint change over time. Methods: Subjects who were treated for Dupuytren contracture with partial fasciectomy were invited to participate in this study. Force sensors were placed in their dorsal extension splint, and the applied force was measured continually for several weeks.

Results: Eleven subjects (aged 59-75 years) with the metacarpophalangeal (8) or proximal interphalangeal (3) as their most severely affected finger joint participated. Each night, the measured force consistently decreased to reach a plateau after about 3 hour (adaptation time, 2.55; 95% confidence interval, 0.2-31.8 hours). The time to reach this plateau decreased with time after surgery (≈5%/day, P =.0005, R ² = 0.08).

Discussion and Conclusions: The observed rate of decrease in the measured force indicates a tissue adaptation time of approximately 3 hours.

Original language	English
Pages (from-to)	80-86
Number of pages	7
Journal	Journal of Hand Therapy
Volume	33
Issue number	1
DOIs	https://doi.org/10.1016/j.jht.2018.09.014
Publication status	Published - 1 Jan 2020

Keywords

Dupuytren
Force
Postoperative hand splinting
Tissue adaptation

Access to Document

10.1016/j.jht.2018.09.014Licence: CC BY-NC-ND

Giesberts2020tissueFinal published version, 809 KBLicence: CC BY-NC-ND

Cite this

@article{87b43e9814a5433bb8adc112989c2419,

title = "Tissue adaptation rate in the treatment of Dupuytren contracture",

abstract = " Study Design: Basic research (cross-sectional). Introduction: Dupuytren disease can cause disabling contractures of the finger joints. After partial fasciectomy, postoperative hand splinting helps to maintain extension range of motion. Purpose of the Study: To measure how the contraction forces of the finger on the splint change over time. Methods: Subjects who were treated for Dupuytren contracture with partial fasciectomy were invited to participate in this study. Force sensors were placed in their dorsal extension splint, and the applied force was measured continually for several weeks.Results: Eleven subjects (aged 59-75 years) with the metacarpophalangeal (8) or proximal interphalangeal (3) as their most severely affected finger joint participated. Each night, the measured force consistently decreased to reach a plateau after about 3 hour (adaptation time, 2.55; 95% confidence interval, 0.2-31.8 hours). The time to reach this plateau decreased with time after surgery (≈5%/day, P =.0005, R 2 = 0.08).Discussion and Conclusions: The observed rate of decrease in the measured force indicates a tissue adaptation time of approximately 3 hours. ",

keywords = "Dupuytren, Force, Postoperative hand splinting, Tissue adaptation",

author = "Giesberts, {Robert Bram} and {ter Haar}, {Anne Marjan} and Sanderman, {Gerrit Martijn} and Hekman, {Edsko Evert Geert} and Verkerke, {Gijsbertus Jacob}",

year = "2020",

month = jan,

day = "1",

doi = "10.1016/j.jht.2018.09.014",

language = "English",

volume = "33",

pages = "80--86",

journal = "Journal of Hand Therapy",

issn = "0894-1130",

publisher = "Hanley and Belfus Inc.",

number = "1",

}

TY - JOUR

T1 - Tissue adaptation rate in the treatment of Dupuytren contracture

AU - Giesberts, Robert Bram

AU - ter Haar, Anne Marjan

AU - Sanderman, Gerrit Martijn

AU - Hekman, Edsko Evert Geert

AU - Verkerke, Gijsbertus Jacob

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Study Design: Basic research (cross-sectional). Introduction: Dupuytren disease can cause disabling contractures of the finger joints. After partial fasciectomy, postoperative hand splinting helps to maintain extension range of motion. Purpose of the Study: To measure how the contraction forces of the finger on the splint change over time. Methods: Subjects who were treated for Dupuytren contracture with partial fasciectomy were invited to participate in this study. Force sensors were placed in their dorsal extension splint, and the applied force was measured continually for several weeks.Results: Eleven subjects (aged 59-75 years) with the metacarpophalangeal (8) or proximal interphalangeal (3) as their most severely affected finger joint participated. Each night, the measured force consistently decreased to reach a plateau after about 3 hour (adaptation time, 2.55; 95% confidence interval, 0.2-31.8 hours). The time to reach this plateau decreased with time after surgery (≈5%/day, P =.0005, R 2 = 0.08).Discussion and Conclusions: The observed rate of decrease in the measured force indicates a tissue adaptation time of approximately 3 hours.

AB - Study Design: Basic research (cross-sectional). Introduction: Dupuytren disease can cause disabling contractures of the finger joints. After partial fasciectomy, postoperative hand splinting helps to maintain extension range of motion. Purpose of the Study: To measure how the contraction forces of the finger on the splint change over time. Methods: Subjects who were treated for Dupuytren contracture with partial fasciectomy were invited to participate in this study. Force sensors were placed in their dorsal extension splint, and the applied force was measured continually for several weeks.Results: Eleven subjects (aged 59-75 years) with the metacarpophalangeal (8) or proximal interphalangeal (3) as their most severely affected finger joint participated. Each night, the measured force consistently decreased to reach a plateau after about 3 hour (adaptation time, 2.55; 95% confidence interval, 0.2-31.8 hours). The time to reach this plateau decreased with time after surgery (≈5%/day, P =.0005, R 2 = 0.08).Discussion and Conclusions: The observed rate of decrease in the measured force indicates a tissue adaptation time of approximately 3 hours.

KW - Dupuytren

KW - Force

KW - Postoperative hand splinting

KW - Tissue adaptation

UR - http://www.scopus.com/inward/record.url?scp=85063262539&partnerID=8YFLogxK

U2 - 10.1016/j.jht.2018.09.014

DO - 10.1016/j.jht.2018.09.014

M3 - Article

AN - SCOPUS:85063262539

SN - 0894-1130

VL - 33

SP - 80

EP - 86

JO - Journal of Hand Therapy

JF - Journal of Hand Therapy

IS - 1

ER -

Tissue adaptation rate in the treatment of Dupuytren contracture

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this