[article] 
inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.213-217

Titre :	Comparison Of Surgical Treatments For Mucous Cysts Of The Distal Interphalangeal Joint
Type de document :	texte imprimé
Auteurs :	Hayk BAAZIL, Auteur ; Alain DALEMANS, Auteur ; Luc De Smet, Auteur
Année de publication :	2015
Article en page(s) :	p.213-217
Langues :	Anglais (eng)
Mots-clés :	Finger  mucous cysts  tumor  full thickness skin graft  distal interphalangeal joint  surgery  hand
Résumé :	Mucous cysts of the interphalangeal joints are common. Several surgical techniques have been described, but none has proven to be superior. We compared three techniques that entail complete removal of the cyst together with the concomitant osteophytes. In group A wound closure was obtained by full thickness skin graft, in group B by primary closure and in group C by a local skin graft. Sixty-four patients with 70 cysts were reviewed. An overall recurrence rate of 8.6% was observed. Forty-five of the studied patients received a full thickness skin graft (4 out of 45 recurred), 23 were closed primarily (2 out of 23 recurred) and 2 by a local skin graft (no recurrences). Full thickness skin graft showed no significant higher recurrence compared to primary closure. Full thickness skin graft showed no significant higher pain or satisfaction compared to primary closure. Patients with a recurrent cyst were less satisfied and had more pain than those without recurrences.
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[article] Comparison Of Surgical Treatments For Mucous Cysts Of The Distal Interphalangeal Joint [texte imprimé] / Hayk BAAZIL, Auteur ; Alain DALEMANS, Auteur ; Luc De Smet, Auteur . - 2015 . - p.213-217.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.213-217

Mots-clés :	Finger  mucous cysts  tumor  full thickness skin graft  distal interphalangeal joint  surgery  hand
Résumé :	Mucous cysts of the interphalangeal joints are common. Several surgical techniques have been described, but none has proven to be superior. We compared three techniques that entail complete removal of the cyst together with the concomitant osteophytes. In group A wound closure was obtained by full thickness skin graft, in group B by primary closure and in group C by a local skin graft. Sixty-four patients with 70 cysts were reviewed. An overall recurrence rate of 8.6% was observed. Forty-five of the studied patients received a full thickness skin graft (4 out of 45 recurred), 23 were closed primarily (2 out of 23 recurred) and 2 by a local skin graft (no recurrences). Full thickness skin graft showed no significant higher recurrence compared to primary closure. Full thickness skin graft showed no significant higher pain or satisfaction compared to primary closure. Patients with a recurrent cyst were less satisfied and had more pain than those without recurrences.
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