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Severe Contracture of the Proximal Interphalangeal Joint in Dupuytren’s Disease: Does Capsuloligamentous Release Improve Outcome?From the Klinik für Handchirurgie, Rhöonklinikum, Bad Neustadt, Germany Correspondence: Priv.-Doz. Dr. med. Karl-Josef Prommersberger, Klinik für Handchirurgie, Salzburger Leite 1, D 97615 Bad Neustadt, Germany. Tel.: +49-9771-662889; fax: +49-9771-659201; E-mail: kjpro{at}t-online.de
This prospective study assessed whether patients with severe proximal interphalangeal joint contracture (
Key Words: Dupuytren’s disease • proximal interphalangeal joint • capsuloligamentous release
Journal of Hand Surgery (British and European Volume), Vol. 29, No. 3,
238-241 (2004) This article has been cited by other articles:
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60°) due to Dupuytren’s disease which persisted after fasciectomy alone benefited from an additional capsuloligamentous release. Forty-three patients with 43 severely contracted proximal interphalangeal joints underwent operative correction followed by a standardized postoperative rehabilitation programme. All were followed for 6 months. In 11 patients correction of the proximal interphalangeal joint to 20° could not be achieved by fasciectomy alone, and an additional capsuloligamentous release was performed which effectively corrected all their residual flexion contractures. There were no statistically significant differences between the capsulotomy and the non-capsulotomy group with respect to the residual proximal interphalangeal joint contracture at the end of surgery, or at their last follow-up examination. 
