gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Article

Send article

Evidence of microcirculatory effects of postoperative exercise therapy after partial fasciectomy in patients with Dupuytren’s Disease using Hyperspectral Imaging

Meeting Abstract

Search Medline for

  • presenting/speaker Inga Langner - Department of Hand- and functional Microsurgery, University Medicine Greifswald, Greifswald, Germany
  • Claudia Sicher - Department of Dermatology, University Medicine Greifswald, Greifswald, Germany
  • Sebastian Von Podewils - Department of Dermatology, University Medicine Greifswald, Greifswald, Germany
  • Torsten Eydner - Department of Dermatology, University Medicine Greifswald, Greifswald, Germany
  • Simon Kim - Department of Hand- and functional Microsurgery, University Medicine Greifswald, Greifswald, Germany
  • Andreas Eisenschenk - Department of Hand- and functional Microsurgery, University Medicine Greifswald, Greifswald, Germany
  • Michael Juenger - Department of Dermatology, University Medicine Greifswald, Greifswald, Germany
  • Georg Daeschlein - Department of Dermatology, University Medicine Greifswald, Greifswald, Germany

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-2004

doi: 10.3205/19ifssh0438, urn:nbn:de:0183-19ifssh04384

Published: February 6, 2020

© 2020 Langner et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: Dupuytren's disease (MD) affects 4-6 % of the caucasian population common connective tissue disorder of the hand. Without surgical treatment MD can lead to relevant loss of function of hands. Due to high recurrence rates and risk of contractures caused by scar tissue, patients usually receive early exercises of the finger joints supported by occupational therapists. But stretching of skin and connective tissue might disturb local blood flow and therefore may increase the risk of postoperative complications.

Hyperspectral Imaging (HSI) allows the quantitative evaluation of tissue perfusion by planar measuring oxygen saturation and tissue water content.

The aim of the work is to quantify the microcirculatory effects of direct postoperative exercises therapy after partial fasciectomy in MD using HSI.

Methods: In five MD patients spatial distribution of oxygen saturation and tissue water content of the palm were measured pre-operatively and on the first 2 post-operative days before and 20 min after of exercise using HSI.

Results and Conclusions: After exercise therapy, all patients showed a relative increase of oxygen saturation compared to the preoperative measurement values of 1.4 % - 23 % and a reduction of tissue water of 2.3 % - 16.7%.

Using HSI increased oxygen saturation together with reduction of tissue water in the operated area could be demonstrated after partial fasciectomy following exercise therapy. This suggests a potential beneficial role in the prevention of postoperative complications what has to be evaluated in further studies.