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Forum for Dupuytren's and Ledderhose 
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  • Dupuytren Disease
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    04/03/2013 20:07
    mal7896 
    04/03/2013 20:07
    mal7896      		Re: Specialist in Brisbane

    terrys:

    Interestingly Dr. Green is not in favour of RT for Dups. In her opiniion it "mushes up" the cords/tissue and makes it very difficult to seperate the cords from surrounding tissue shoud the need for the open hand fasciectomy operation be required. Dr. Green sees no issues in RT for Ledderhose as surgery is rarely recommended and hence the need to disect the diseased tissue away from surrounding tissue in negated.


    Dr Green told me the same thing a few weeks ago when I saw her. Is this common thoughts amongst other hand surgeons I wonder?

    Mal
      04/03/2013 22:39
      stephenp 
      04/03/2013 22:39
      stephenp        		Re: Specialist in Brisbane

      RT was undertaken by David Schlect at Premion Radiology, Wesley, Brisbane. He used the standard protocol of 5x3Gy with a 6 week break and a further 5x3Gy.

      Next week I am starting RT on the other hand.

      While RT may make follow up surgery more difficult, it is a risk I am prepared to take due to the high recurrence rate following surgery.
        04/04/2013 04:22
        stephenp 
        04/04/2013 04:22
        stephenp          		Re: Specialist in Brisbane

        In this abstract

        Dupuytren’s Disease and Related Hyperproliferative Disorders
        2012, pp 349-371
        Long-Term Outcome of Radiotherapy for Early Stage Dupuytren’s Disease: A Phase III Clinical Study
        Michael Heinrich Seegenschmiedt, Ludwig Keilholz, Mark Wielpütz, Christine Schubert, Fabian Fehlauer

        it is stated that "Salvage surgery was possible without healing problems". No comment in the abstract is made about any complexities. I do not have access to the whole chapter.
          04/04/2013 06:46
          Larry 
          04/04/2013 06:46
          Larry            		Re: Specialist in Brisbane

          stephenp:
          In this abstract

          Dupuytren’s Disease and Related Hyperproliferative Disorders
          2012, pp 349-371
          Long-Term Outcome of Radiotherapy for Early Stage Dupuytren’s Disease: A Phase III Clinical Study
          Michael Heinrich Seegenschmiedt, Ludwig Keilholz, Mark Wielpütz, Christine Schubert, Fabian Fehlauer

          it is stated that "Salvage surgery was possible without healing problems". No comment in the abstract is made about any complexities. I do not have access to the whole chapter.

          You or your doctor in Brisbane may write to the first author, Prof. Seegenschmiedt in Hamburg

          The abstract source is:

          http://link.springer.com/chapter/10.1007...-642-22697-7_44
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