The possibility of effective using the conservative and the minimally invasive treatment methods at various stages of the Dupuytren disease

A literature review is presented on the conservative and minimally invasive methods of treating the Dupuytren contracture. The investigators discuss both the methods implemented into clinical practice and those, which are currently at the stage of clinical and laboratory trials, including the minima...

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Main Authors: Ekaterina K. Ovchinnikova, Sergey I. Gilfanov
Format: Article
Language:English
Published: Eco-vector 2024-12-01
Series:Клиническая практика
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Online Access:https://journals.eco-vector.com/clinpractice/article/viewFile/641980/pdf
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author Ekaterina K. Ovchinnikova
Sergey I. Gilfanov
author_facet Ekaterina K. Ovchinnikova
Sergey I. Gilfanov
author_sort Ekaterina K. Ovchinnikova
collection DOAJ
description A literature review is presented on the conservative and minimally invasive methods of treating the Dupuytren contracture. The investigators discuss both the methods implemented into clinical practice and those, which are currently at the stage of clinical and laboratory trials, including the minimally invasive methods, which can be used not only at the later stages, but also in cases of early manifestations of the disease. Among them there are the combined use of conservative methods, the radiation therapy, the injections of collagenase and steroids, the use of immunodepressive medicines and the needle aponeurotomy. These methods can be used at the earliest stages of the disease, however, the absence of proper evidence base often hinders their wide implementation. Up to the present moment, there is no commonly acknowledged approach to managing and treating the patients with early stage of the disease. The modern approach is focused on the invasive treatment of only later disease stages and of the severe contracture cases. This is why we would like to emphasize the potential of minimally invasive methods at the early stages of the Dupuytren disease, as well as the necessity of further research in this direction along with the importance of implementing such methods into everyday practice of the physicians.
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series Клиническая практика
spelling doaj-art-fe88429959b140db850e261ee7d8833a2025-01-27T21:32:21ZengEco-vectorКлиническая практика2220-30952618-86272024-12-011549710310.17816/clinpract64198078458The possibility of effective using the conservative and the minimally invasive treatment methods at various stages of the Dupuytren diseaseEkaterina K. Ovchinnikova0https://orcid.org/0009-0006-5915-9616Sergey I. Gilfanov1https://orcid.org/0009-0006-3600-1752Central State Medical Academy of Department of Presidential AffairsCentral State Medical Academy of Department of Presidential AffairsA literature review is presented on the conservative and minimally invasive methods of treating the Dupuytren contracture. The investigators discuss both the methods implemented into clinical practice and those, which are currently at the stage of clinical and laboratory trials, including the minimally invasive methods, which can be used not only at the later stages, but also in cases of early manifestations of the disease. Among them there are the combined use of conservative methods, the radiation therapy, the injections of collagenase and steroids, the use of immunodepressive medicines and the needle aponeurotomy. These methods can be used at the earliest stages of the disease, however, the absence of proper evidence base often hinders their wide implementation. Up to the present moment, there is no commonly acknowledged approach to managing and treating the patients with early stage of the disease. The modern approach is focused on the invasive treatment of only later disease stages and of the severe contracture cases. This is why we would like to emphasize the potential of minimally invasive methods at the early stages of the Dupuytren disease, as well as the necessity of further research in this direction along with the importance of implementing such methods into everyday practice of the physicians.https://journals.eco-vector.com/clinpractice/article/viewFile/641980/pdfdupuytren contracturepalmar fibromatosisneedle aponeurotomypercutaneous (needle) aponeurotomy
spellingShingle Ekaterina K. Ovchinnikova
Sergey I. Gilfanov
The possibility of effective using the conservative and the minimally invasive treatment methods at various stages of the Dupuytren disease
Клиническая практика
dupuytren contracture
palmar fibromatosis
needle aponeurotomy
percutaneous (needle) aponeurotomy
title The possibility of effective using the conservative and the minimally invasive treatment methods at various stages of the Dupuytren disease
title_full The possibility of effective using the conservative and the minimally invasive treatment methods at various stages of the Dupuytren disease
title_fullStr The possibility of effective using the conservative and the minimally invasive treatment methods at various stages of the Dupuytren disease
title_full_unstemmed The possibility of effective using the conservative and the minimally invasive treatment methods at various stages of the Dupuytren disease
title_short The possibility of effective using the conservative and the minimally invasive treatment methods at various stages of the Dupuytren disease
title_sort possibility of effective using the conservative and the minimally invasive treatment methods at various stages of the dupuytren disease
topic dupuytren contracture
palmar fibromatosis
needle aponeurotomy
percutaneous (needle) aponeurotomy
url https://journals.eco-vector.com/clinpractice/article/viewFile/641980/pdf
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