ÖZET
Amaç:
Dupuytren kontraktürü ile kliniğimize başvurup parsiyel fasiektomi uyguladığımız hastaların kısa dönem sonuçları değerlendirildi.
Gereç ve Yöntem:
Çalışmaya, Ekim 2019 ile Mart 2022 tarihleri arasında parsiyel fasiektomi cerrahisi uygulanan 29 hasta dahil edildi. Bu hastaların demografik ve klinik özellikleri, kontraktür dereceleri, fonksiyonel sonuçları, yineleme oranı ve memnuniyet oranları değerlendirildi. Tüm hastalara Q-DASH skorlaması uygulandı. Cerrahi sonrası yara yeri enfeksiyonu ve nörovasküler yaralanma gibi komplikasyonlar değerlendirilmiştir.
Bulgular:
Hastaların 3’ü bayan, 26’sı erkek idi. Hastaların yaş ortalaması 57 (40-74). Hastalar ortalama 12 ay (11-17) takip edildi. Hastaların ameliyat sonrası patoloji sonuçlarında fibromatozis ile uyumlu bulgu elde edildi. İki hastada yara yerinde masserasyon izlendi. Ortalama Q-DASH puanı 7,36’dır (0-22,8). Hastaların tamamına, ameliyat sonrası kelebek dren yerleştirildi. Hastalarda yineleme izlenmedi. Hastaların tamamı, cerrahi tedaviden memnun kaldıklarını belirtti.
Sonuç:
Dupuytren kontraktürü nedeni ile düzgün ve başarılı bir şekilde uygulanan parsiyel fasiektomi cerrahisi; nüks, hasta memnuniyeti ve nadir komplikasyon gelişmesi nedeni ile yararlı bir yöntem olduğu göz ardı edilmemelidir.
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