The Journal of Hand Surgery - European Volume - April 2018 - 9

BSSH Spring meeting abstracts
the senior author at the John Radcliffe Hospital
between 1997 and 2012. Duration and severity of
symptoms, previous failed treatment includin splinting and surgery, x-ray changes were considered
when deciding the optimal procedure for each
patient. Starting mean contracture, improvement of
contracture (extension angle), loss of flexion and
complications were assessed.
Results: 28 patientsunderwent TATA or osteotomies
for camptodactyly correction. 16 had an isolated little
finger camptodactyly. The mean starting contracture
was 81o (60-100o). 24 (86%) had an improvement in
extensionangle but 22 (79%) had a loss of flexion. 8
(29% patients (or parents of patients) found there
was
no
improvement
in
camptodactyly.
Complications were common including 6 with pinsite
infection, 2 wound infection, 4 wire loosening, 2 bone
loss, 8 bone stiffness.
Conclusions: Camptodactyly is a complex mulitfactoral problem with a range of affected biology. Our
outcomes are worse than in the reported literature,
but mean starting contracture was larger. There's an
observed change in function from a predominately

S9
flexor grip to greater extensor strength in the operated finger. A single surgical solution is not suitable,
and an indivisualised approach must be considered.

The Outcome of Dermofasciectomy for Dupuytren's
Disease - A Systematic Review and Comparison
with Results From our Regional Hand Unit
Miss Olivia Sharp and Wing Commander Ankur Pandya
Queen Alexandra Hospital
Time in programme: Friday 4th May 09:03

Aims: This systematic review evaluates the rates
of
recurrence
and
complications
after
dermofasciectomy.
Methods: Databases were searched and a PRISMA
chart created. 56 non-duplicate citations were
screened, of which 13 met our inclusion criteria.
Comparison was made with our local results.
Results: See table 1. There was considerable variability in scoring systems, definition of recurrence

Table 1. Details of included studies.
Principle
Author

No.
patients

Abe
Armstrong
Brotherston
Chen

8
103
34
43

Hall
Kelly
Ketchum
Logan
Pandya*
Searle
Tonkin

67
24
24
15
267
32
100

Ullah

79

Van Giffen

38

Roush

19

Interventions

Recurrence rate(% patients unless specified)

DF
DF
DF
DF
PF
DF
DF
DF
DF
DF
DF
DF
Fasciectomy

25%
12%
0%
DF 0%
PF 46% hands
8% rays
47% rays
0%
7%
<1%
Nodules 10% rays
DF 13% and 4% in primary and secondary
disease respectively
Fasciectomy 54%
Firebreak skin graft 14%
Fasciectomy 11% rays
Recurrence of extension deficit at
proximal interphalangeal joint:
DF 44%
LF 38%
Segmental fasciectomy 39%
Only fasciectomy & flap maintained movement

Firebreak skin graft
Fasciectomy
DF
LF
Segmental fasciectomy

LF & interphalangeal arthrodesis
DF
Fasciectomy & local flap

DF Dermofasciectomy, PF Partial fasciectomy, LF Limited fasciectomy
*Local results, paper forthcoming.



Table of Contents for the Digital Edition of The Journal of Hand Surgery - European Volume - April 2018

The Journal of Hand Surgery - European Volume - April 2018 - Cover1
The Journal of Hand Surgery - European Volume - April 2018 - Cover2
The Journal of Hand Surgery - European Volume - April 2018 - 1
The Journal of Hand Surgery - European Volume - April 2018 - 2
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The Journal of Hand Surgery - European Volume - April 2018 - 9
The Journal of Hand Surgery - European Volume - April 2018 - 10
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The Journal of Hand Surgery - European Volume - April 2018 - Cover3
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