Abstract
1 — İn this article the pathogenesis of Duyuytren's contracture
has been presented together with a plan of therapy based upon
this concept. İn the disease process there stages can be identified :
the proliferative stage the invollutional stage and the residual stage.
2 — The principle of treatment of Dupuytren's contracture based
upon the stage of the pathological process existing at the time
of the teraphy.
3 — The nodule is interpreted as the essential lesion, The fibrOUS
cords are interpreted as hypertrophy of fascial bands reacting to intermittent tension stress. Nodules reguire excision; the cords
do not.
4 — in the palm, the reactive fascial cords were sectioned by
subcutanecus fasciatomy. İn the fingers, the cords were sectioned or
segments excised by direct vision.
Keywords
Antibiotic combinations synergism antagonism bactericidal bacteriostatic clinical efficacy.
References
- 1. BULGER, R. J., KIRBY, W. M.: Am. J. Med. Science, 246: 107, 1963.
- 2. FINK, F. J., STRODE, J. W.: Combinations of antimicrobial agents in pediatric practice. Pediatric Clinics of North America, 1956.
- 3. GARROD, L. P., WATERWORTH, P. M.: J. Clin. Pathol., 15: 328, 1962.
- 4. GUNNISON, J. B., et al.: J. Gen. Microbiol., 13: 509, 1955.
- 5. JAWETZ, E., GUNNISON, J. B.: Science, 111: 154, 1950.
- 6. JAWETZ, E., GUNNISON, J. B.: Antibiotics and Chemother., 2: 243, 1952.
- 7. JAWETZ, E., GUNNISON, J. B.: Pharmacol. Rev., 5: 175, 1953.
- 8. JAWETZ, E., SPECK, R. S.: Proc. Soc. Exp. Biol., 74: 103, 1950.
- 9. JONES, W. F., FINLAND, M.: New Engl. J. Med., 256: 115, 1957.
- 10. LEPPER, M. H., DOWLING, H. F.: Arch. Intern. Med., 88: 489, 1951.
- 11. MANTEN, A., WISSE, M. J.: Nature, 192: 671, 1961.
- 12. SABATH, L. D., ABRAHAM, E. P.: Nature, 204: 1066, 1964.
- 13. WEINSTEIN, L.: Antibiotics. The Pharmacological Basis of Therapeutics, 1965.
- 14. WHITE, J. R., WHITE, H. L.: Science, 146: 772, 1964.
Abstract
1 — Bu makalede, Duyuytren kontraktürünün patogenezi, bu kavrama dayalı bir tedavi planı ile birlikte sunulmuştur. Hastalık sürecinde şu aşamalar tanımlanabilir: proliferatif evre, involüsyon evresi ve rezidüel evre.
2 — Dupuytren kontraktürünün tedavi prensibi, tedavi sırasında mevcut olan patolojik sürecin evresine dayanmaktadır.
3 — Nodül, esas lezyon olarak yorumlanır. Fibröz kordlar, aralıklı gerilim stresine tepki veren fasyal bantların hipertrofisi olarak yorumlanır. Nodüller eksizyon gerektirir; kordlar gerektirmez.
4 — Avuç içinde, reaktif fasyal kordlar subkütanöz fasyatomi ile kesildi. Parmaklarda, kordlar doğrudan görüşle kesildi veya segmentleri çıkarıldı.
Keywords
Antibiyotik kombinasyonları sinerjizma antagonizma bakterisid bakteriyostatik klinik etkinlik
References
- 1. BULGER, R. J., KIRBY, W. M.: Am. J. Med. Science, 246: 107, 1963.
- 2. FINK, F. J., STRODE, J. W.: Combinations of antimicrobial agents in pediatric practice. Pediatric Clinics of North America, 1956.
- 3. GARROD, L. P., WATERWORTH, P. M.: J. Clin. Pathol., 15: 328, 1962.
- 4. GUNNISON, J. B., et al.: J. Gen. Microbiol., 13: 509, 1955.
- 5. JAWETZ, E., GUNNISON, J. B.: Science, 111: 154, 1950.
- 6. JAWETZ, E., GUNNISON, J. B.: Antibiotics and Chemother., 2: 243, 1952.
- 7. JAWETZ, E., GUNNISON, J. B.: Pharmacol. Rev., 5: 175, 1953.
- 8. JAWETZ, E., SPECK, R. S.: Proc. Soc. Exp. Biol., 74: 103, 1950.
- 9. JONES, W. F., FINLAND, M.: New Engl. J. Med., 256: 115, 1957.
- 10. LEPPER, M. H., DOWLING, H. F.: Arch. Intern. Med., 88: 489, 1951.
- 11. MANTEN, A., WISSE, M. J.: Nature, 192: 671, 1961.
- 12. SABATH, L. D., ABRAHAM, E. P.: Nature, 204: 1066, 1964.
- 13. WEINSTEIN, L.: Antibiotics. The Pharmacological Basis of Therapeutics, 1965.
- 14. WHITE, J. R., WHITE, H. L.: Science, 146: 772, 1964.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Orthopaedics |
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 31, 1967 |
| IZ | https://izlik.org/JA39BJ99CL |
| Published in Issue | Year 1967 Volume: 20 Issue: 1 |