Information de reference pour ce titreAccession Number: | 00002281-199911000-00012.
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Author: | Melone, Charles P. Jr MD; McLoughlin, James C. MD, SM; Beldner, Steven MD
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Institution: | Chief, Division of Hand Surgery, Beth Israel Medical Center, New York, NY, USA; Professor of Clinical Orthopaedic Surgery, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY, USA; Chief Resident, Department of Orthopaedic Surgery, Montefiore Medical Center, Bronx, NY, USA; Attending Hand Surgeon, Beth Israel Medical Center, New York, NY, USA
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Title: | |
Source: | Current Opinion in Rheumatology. 11(6):514, November 1999.
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Abstract: | Disabling deformity of the hand is a hallmark feature of the person afflicted with scleroderma. However, existing literature provides little guidance to operative treatment for the wide spectrum of hand derangement. Although arthrodesis is generally recommended for severe flexion contractures of the interphalangeal joints, other surgical procedures such as arthroplasty, excision of painful calcinosis, and digital sympathectomy have been employed sparingly, undoubtedly due to potentially hazardous soft tissue conditions. Based on experience with 70 scleroderma patients requiring 272 hand operations, this article provides further insight as to the role of surgical treatment for the scleroderma hand. The favorable results in this relatively large series of cases support the efficacy of precisely timed and skillfully executed surgery in the alleviation of pain, prevention of tissue loss, preservation of function, and improvement in aesthetics. For the ischemic tissues of the scleroderma hand the prerequisite for uncomplicated surgery is a tension-free wound, often requiring judicious skeletal shortening and healing by secondary intention.
(C) 1999 Lippincott Williams & Wilkins, Inc.
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Language: | English.
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Document Type: | EDITORIAL OVERVIEW: PDF Only.
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Journal Subset: | Clinical Medicine.
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ISSN: | 1040-8711
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NLM Journal Code: | 9000851, avg, 9000851
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Annotation(s) | |