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Total vs. partial aponeurectomy for Dupuytren’s contracture - A literature review

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Högemann A., Kendoff D., Wolfhard U., O’Loughlin P., Olivier L.
Open Medicine
|
2010
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vol. 5
|
issue 1
1-5
EN
The etiology of Dupuytren’s disease is controversial and thus the disease can only be treated when it presents with symptoms to warrant intervention. Surgical treatment is the method of choice to preserve hand dexterity and function. It is advisable to perform surgery at an early stage of disease progression, but various surgical techniques have been advocated. A partial fasciectomy is recommend by many authors, whereas a total aponeurectomy, where all palmar tissue is removed, might reduce the risk of recurrent disease due to the widespread removal of aponeurosis. The total aponeurectomy is performed less frequently due to the potential complications of this technique. In order to achieve an objective comparison of both surgical options we performed a literature meta-analysis, involving a comparison of surgical indications, results and complications following partial and total aponeurectomy, which are described in detail within this review article.
2
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Navigated lateral unicompartmental knee arthroplasty - Technique and case report

86%
Kendoff D., Benedetto P., Bedi A., Citak M., Olivier L., Pearle A.
Open Medicine
|
2009
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vol. 4
|
issue 3
382-387
EN
Lateral unicompartmental knee arthroplasty (UKA) outcomes have been inferior to those described after medial UKA. Inaccurate implant positioning and mechanical axis malalignment appear to be the most common technical errors. Rare studies or failure identification on lateral UKA are currently presented in the literature. We describe the utilization of computer-assisted lateral UKA placement for lateral knee osteoarthritis with a valgus malalignment of 10°. Navigation allows for a dynamic intraoperative visualisation of the mechanical axis, as well as for accurate component positioning and overall postoperative limb alignment. The systems allow the knee position to be captured with appropriate tension in extension and flexion prior to making definite cuts. Postoperatively, no instabilities occurred with a precise component placement. Navigation can be used in rare cases for lateral UKA.
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