KFU. Card publication. Prognosis of Long-term Postoperative Complications after Surgical Treatment of Dupuytren's Disease (Contracture)

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FEDERAL UNIVERSITY

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PROGNOSIS OF LONG-TERM POSTOPERATIVE COMPLICATIONS AFTER SURGICAL TREATMENT OF DUPUYTREN'S DISEASE (CONTRACTURE)

Form of presentation

Articles in international journals and collections

Year of publication

2019

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Authors, employees of KFU

Mishakin Timur Sergeevich, author

Bibliographic description in the original language

Gleb I. Mikusev, Rustem F. Baikeev, Ruslan O. Magomedov, Ivan E. Mikusev, Timur S. Mishakin. Prognosis of Long-term Postoperative Complications after Surgical Treatment of Dupuytren's Disease (Contracture). Research J. Pharm. and Tech. 2019; 12(3):1055-1065.

Annotation

Background Dupuytren's disease (DD) is a proliferative fibromatosis of the hand, which causes permanent flexion contracture of the digits and, ultimately, loss of function. The treatment of DD is complex and involves surgical and nonsurgical approaches, with the goal of removing the affected tissue. Systems analysis of postoperative complications depending on combination of factors of the patient and influencing development of long-term postoperative complications (LPC) is the way which can optimize tactics of surgical treatment. Purpose To develop prognosis of long-term postoperative complications' technology after surgical treatment of Dupuytren's disease (contracture) on the basis of the analysis of A-factors, determining the biological status of the patient ( gender, age, terms of disease, examination period, grade of lesion by DD, heredity, accompanying diseases, surgical history and traumas, the disease beginning, laboratory analyses, etc.); B-factors, presenting life style of the patient (residence, physical and mental job, bad habits, etc.); C-factors, presenting technical-surgical components of operations and rehabilitational treatment (the experience of the surgeon, types of operations, anaesthesia, section, dermal plasty, rehabilitational treatment, healing, etc.). Methods Anamnesis, operative measures, postoperative catamnesis, mathematical modeling. Results Technology allows to prognosticate the operation outcome in 58,9–81,4% of cases. This depends on type of considered factors (a combination of factors,% of prognosticated cases): 1. A + B + C 72,8–78,7% (?=0,0001) 2. ?+? 64,4–73,3% (?=0,0001); 3. C 58,9–81,4% (? = 0,002). Conclusions Anamnesis, the analysis of technique of operative measures and rehabilitational treatment allow to predict the outcome of operative treatment concerning DD. Increasing (27 factors) and decreasing (12 factors) of LPC are the outstanding points for development prognosis of LPC.

Keywords

Complications, Dupuytren?s contracture, Prognosis, Surgery.

The name of the journal

Research Journal of Pharmacy and Technology

URL

http://rjptonline.org/AbstractView.aspx?PID=2019-12-3-13

Please use this ID to quote from or refer to the card

https://repository.kpfu.ru/eng/?p_id=199478&p_lang=2

Full metadata record

Field DC	Value	Language
dc.contributor.author	Mishakin Timur Sergeevich	ru_RU
dc.date.accessioned	2019-01-01T00:00:00Z	ru_RU
dc.date.available	2019-01-01T00:00:00Z	ru_RU
dc.date.issued	2019	ru_RU
dc.identifier.citation	Gleb I. Mikusev, Rustem F. Baikeev, Ruslan O. Magomedov, Ivan E. Mikusev, Timur S. Mishakin. Prognosis of Long-term Postoperative Complications after Surgical Treatment of Dupuytren's Disease (Contracture). Research J. Pharm. and Tech. 2019; 12(3):1055-1065.	ru_RU
dc.identifier.uri	https://repository.kpfu.ru/eng/?p_id=199478&p_lang=2	ru_RU
dc.description.abstract	Research Journal of Pharmacy and Technology	ru_RU
dc.description.abstract	Background Dupuytren's disease (DD) is a proliferative fibromatosis of the hand, which causes permanent flexion contracture of the digits and, ultimately, loss of function. The treatment of DD is complex and involves surgical and nonsurgical approaches, with the goal of removing the affected tissue. Systems analysis of postoperative complications depending on combination of factors of the patient and influencing development of long-term postoperative complications (LPC) is the way which can optimize tactics of surgical treatment. Purpose To develop prognosis of long-term postoperative complications' technology after surgical treatment of Dupuytren's disease (contracture) on the basis of the analysis of A-factors, determining the biological status of the patient ( gender, age, terms of disease, examination period, grade of lesion by DD, heredity, accompanying diseases, surgical history and traumas, the disease beginning, laboratory analyses, etc.); B-factors, presenting life style of the patient (residence, physical and mental job, bad habits, etc.); C-factors, presenting technical-surgical components of operations and rehabilitational treatment (the experience of the surgeon, types of operations, anaesthesia, section, dermal plasty, rehabilitational treatment, healing, etc.). Methods Anamnesis, operative measures, postoperative catamnesis, mathematical modeling. Results Technology allows to prognosticate the operation outcome in 58,9–81,4% of cases. This depends on type of considered factors (a combination of factors,% of prognosticated cases): 1. A + B + C 72,8–78,7% (?=0,0001) 2. ?+? 64,4–73,3% (?=0,0001); 3. C 58,9–81,4% (? = 0,002). Conclusions Anamnesis, the analysis of technique of operative measures and rehabilitational treatment allow to predict the outcome of operative treatment concerning DD. Increasing (27 factors) and decreasing (12 factors) of LPC are the outstanding points for development prognosis of LPC.	ru_RU
dc.language.iso	ru	ru_RU
dc.subject	Complications	ru_RU
dc.subject	Dupuytren?s contracture	ru_RU
dc.subject	Prognosis	ru_RU
dc.subject	Surgery.	ru_RU
dc.title	Prognosis of Long-term Postoperative Complications after Surgical Treatment of Dupuytren's Disease (Contracture)	ru_RU
dc.type	Articles in international journals and collections	ru_RU