Experience of a Terciary Hospital with the McCash Technique for the Treatment of Dupuytren

Authors

  • Ana Caroline Leite da Silva Médica Residente da Cirurgião de Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil
  • Gabriel Rodrigues dos Santos Milhomens Médico Residente da Cirurgião de Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil https://orcid.org/0000-0001-6805-5460
  • Anderson Clayton Cardeal Médico Residente da Cirurgião de Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil https://orcid.org/0000-0002-2032-6222
  • Luis Guilherme Rosifini Alves Rezende Médico Assistente do Serviço da Cirurgião de Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil https://orcid.org/0000-0002-2037-0135
  • Filipe Jun Shimaoka Médico Assistente do Serviço da Cirurgião de Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil
  • Nilton Mazzer Professor Titular e Chefe do Serviço da Cirurgião de Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil

DOI:

https://doi.org/10.21270/archi.v12i1.6057

Keywords:

Dupuytren Contracture, Return to Work, Contracture

Abstract

Background. Dupuytren's disease is characterized by a benign fibroproliferation of the palmar and digital fascia, which produces deformities and flexion contractures in the hands and fingers. Several therapeutic approaches are proposed to correct the deformity and restore hand function. This study's objective is to describe a third-level hospital's experience in managing Dupuytren's illness. Methods. A retrospective study analyzing 59 cases of Dupuytren's disease who underwent surgical treatment using the modified McCash open palm technique. The studio included 44 men and 15 women, with an average age of 66. Of these, 16 were diabetics, eight used neuroleptics, 29 were alcoholics, and 20 had a positive family history. The average duration of the disease at the time of diagnosis was 8.2 years. 55.9% had a bilateral illness. Results: a statistical difference was observed in the Tubiana stage for the 5th finger (Chi-Square Test p=0.060) and the recurrence variable (ANOVA p=0.036), and a higher rate of recurrence in the patients who presented bilaterality (Chi-Square Test Square of test p=0.047). Conclusion: McCash's technique has satisfactory results considering the variables studied and according to the literature.

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References

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Published

2023-01-20

How to Cite

Silva, A. C. L. da ., Milhomens, G. R. dos S., Cardeal, A. C., Rezende, L. G. R. A., Shimaoka, F. J. ., & Mazzer, N. (2023). Experience of a Terciary Hospital with the McCash Technique for the Treatment of Dupuytren. ARCHIVES OF HEALTH INVESTIGATION, 12(1), 1–5. https://doi.org/10.21270/archi.v12i1.6057

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Original Articles