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Author:   Peter Brenner ,  H. Millesi ,  J. Gratzer ,  B. Twisselmann
Publisher:   Springer Verlag GmbH
Imprint:   Springer Verlag GmbH
Edition:   2003 ed.
Dimensions:   Width: 21.00cm , Height: 28.60cm , Length: 27.90cm
Weight:   1.380kg
ISBN:  

9783211836569

ISBN 10:   321183656
Pages:   241
Publication Date:   26 February 2003
Audience:   College/higher education ,  Professional and scholarly ,  Undergraduate ,  Postgraduate, Research & Scholarly
Format:   Hardback
Publisher's Status:   Active
Availability:   Awaiting stock  
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Table of Contents

Introduction Dupuytren's disease - a historical overview Epidemiology * Prevalence of Dupuytren's disease among Caucasians * The incidence of Dupuytren's disease in Germany * Age and Dupuytren's disease * Sex distribution in Dupuytren's disease * Handedness in digitopalmar contracture Theories concerning aetiology and pathogenesis * Association between trauma and Dupuytren's disease * Ectopic fibromatoses * Hepatic cirrhosis and Dupuytren's disease * Alcohol abuse * Nicotine abuse * Epilepsy * The hypothesis of a neurogenic origin of Dupuytren's disease * Hereditary factors * Dupuytren's diathesis * Coincidence of Dupuytren's disease and disorders of the immune system * Dupuytren's disease in diabetes * Vascular disease * Oxygen free radicals and induction of Dupuytren's disease Ground substance and cells of the extracellular matrix * The extracellular matrix * Fibrous proteins * Glucosaminoglycans of the extracellular matrix * Fascial and plasmatic patterns of glycosaminoglycans in Dupuytren's disease * Interactions between collagens, glycosaminoglycans, and fibroblasts Subjective complaints Symptoms of Dupuytren's contracture Course of Dupuytren's contracture Anatomy of the palmar fascia (G M RAYAN) * Development of the palmar fascia * Anatomy of the palmar fascia Classification Conservative treatments Surgical goals Surgical indications * Thoughts on the indication in the nodular and cord stages * Mechanical strains Selection of surgical techniques * Indications for fasciotomy and different forms of fascietomies * Indications for additional measures * Indications for additional simultaneous interventions * Indications in recurrent disease Contraindications Informed consent Preoperative workup Instruments Anaesthesia and positioning Operative technique * Remarks on skin incisions * Approaches to fingers and palm * Excision of the tissueaffected by Dupuytrens disease * Skin suture Additional measures to improve hand function * Fixed flexion deformity at the interphalangeal joints * Extension methods * Remarks on teno- and arthrolysis * Corrective osteotomy * Arthrodeses * Amputation Postoperative treatment * Follow up treatment after minimal invasive procedures * Postoperative management after partial and total fasciectomy * Specifics of the open palm technique * Aftercare following skin grafts and local flaps * Aims of physical and occupational therapy Errors, hazards and complications * Hematomas * Lesions of the neurovascular bundles * Necrosis of the wound margin * Graft failure * Flap necrosis * Reflex sympathetic dystrophy (algodystrophy) Results * Functional results and recurrence rates * Complications dependingon the surgical technique Conclusions References Subject index

Reviews

... Das Buch ist ausserordentlich grosszugig ausgelegt mit sehr schonen Zeichnungen und ebenso schonen Farbaufnahmen. Fur den Erfahrenen stellt es ein wunderschones Repetitorium dar, fur den Anfanger eine fast spannende Darstellung dieser wichtigen Handerkrankung und fur den handinteressierten Allgemeinpraktiker ein wertvolles, sehr schones Lexikon ... swiss surgery 6/2003

... Das Buch ist ausserordentlich grosszugig ausgelegt mit sehr schoenen Zeichnungen und ebenso schoenen Farbaufnahmen. Fur den Erfahrenen stellt es ein wunderschoenes Repetitorium dar, fur den Anfanger eine fast spannende Darstellung dieser wichtigen Handerkrankung und fur den handinteressierten Allgemeinpraktiker ein wertvolles, sehr schoenes Lexikon ... swiss surgery 6/2003

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