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Nylander, Göran
Publications (5 of 5) Show all publications
Engstrand, C., Krevers, B., Nylander, G. & Kvist, J. (2014). Hand function and quality of life before and after fasciectomy for Dupuytren contracture. Journal of Hand Surgery-American Volume, 39(7), 1333-1343
Open this publication in new window or tab >>Hand function and quality of life before and after fasciectomy for Dupuytren contracture
2014 (English)In: Journal of Hand Surgery-American Volume, ISSN 0363-5023, E-ISSN 1531-6564, Vol. 39, no 7, p. 1333-1343Article in journal (Refereed) Published
Abstract [en]

PURPOSE:

To describe changes in joint motion, sensibility, and scar pliability and to investigate the patients' expectations, self-reported recovery, and satisfaction with hand function, disability, and quality of life after surgery and hand therapy for Dupuytren disease.

METHODS:

This prospective cohort study collected measurements before surgery and 3, 6, and 12 months after surgery and hand therapy. Ninety patients with total active extension deficits of 60° or more from Dupuytren contracture were included. Outcomes measures were range of motion; sensibility; scar pliability; self-reported outcomes on expectations, recovery, and satisfaction with hand function; Disabilities of the Arm, Shoulder, and Hand scores; safety and social issues of hand function; physical activity habits; and quality of life with the Euroqol.

RESULTS:

The extension deficit decreased, and there was a transient decrease in active finger flexion during the first year after surgery. Sensibility remained unaffected. Generally, patients with surgery on multiple fingers had worse scar pliability. The majority of the patients had their expectations met, and at 6 months, 32% considered hand function as fully recovered, and 73% were satisfied with their hand function. Fear of hurting the hand and worry about not trusting the hand function were of greatest concern among safety and social issues. The Disability of the Arm, Shoulder, and Hand score and the Euroqol improved over time.

CONCLUSIONS:

After surgery and hand therapy, disability decreased independent of single or multiple operated fingers. The total active finger extension improved enough for the patients to reach a functional range of motion despite an impairment of active finger flexion still present 12 months after treatment.

Place, publisher, year, edition, pages
Elsevier, 2014
Keywords
Dupuytren contracture; surgical treatment; range of motion; satisfaction; occupational therapy
National Category
Clinical Medicine Physiotherapy
Identifiers
urn:nbn:se:liu:diva-109387 (URN)10.1016/j.jhsa.2014.04.029 (DOI)000338905000014 ()24969497 (PubMedID)
Available from: 2014-08-15 Created: 2014-08-15 Last updated: 2017-12-05Bibliographically approved
Svernlöv, B., Nylander, G. & Adolfsson, L. (2011). Patient-reported outcome of surgical treatment of nerve entrapments in the proximal forearm. Advances in orthopedics, 2011, 727689
Open this publication in new window or tab >>Patient-reported outcome of surgical treatment of nerve entrapments in the proximal forearm
2011 (English)In: Advances in orthopedics, ISSN 2090-3472, Vol. 2011, p. 727689-Article in journal (Refereed) Published
Abstract [en]

The outcome of decompression for long-standing symptoms of nerve entrapments in the proximal forearm was investigated in a retrospective study of 205 patients using a self-assessment questionnaire, 45 months after the operation. The questionnaire consisted of visual analogue scale recordings of pre- and postoperative pain during rest and activity, questions about remaining symptoms and appreciation of the result and the Disabilities of Arm, Shoulder and Hand form (DASH). Altogether, 59% of the patients were satisfied, 58% considered themselves improved, and 3% as being entirely relieved of all symptoms. Pain decreased significantly (P = 0.001). There was a significant correlation between preoperative duration and patient perceived post-operative pain. Preoperative pain was a chief complaint, and pain reduction appears to be the principal gain of the operation. Although the majority of the patients benefited from the operation, a substantial proportion was not satisfied. There is apparently room for improvement of the diagnostic and surgical methods applied in this study.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2011
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-72717 (URN)10.4061/2011/727689 (DOI)21991420 (PubMedID)
Available from: 2011-12-05 Created: 2011-12-05 Last updated: 2014-09-25Bibliographically approved
Berggren, M., Joost-Davidsson, A., Lindstrand, J., Nylander, G. & Povlsen, B. (2001). Reduction in the need for operation after conservative treatment of osteoarthritis of the first carpometacarpal joint: a seven year prospective study.. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 35, 415-417
Open this publication in new window or tab >>Reduction in the need for operation after conservative treatment of osteoarthritis of the first carpometacarpal joint: a seven year prospective study.
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2001 (English)In: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, ISSN 2000-656X, E-ISSN 2000-6764, Vol. 35, p. 415-417Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-24931 (URN)9337 (Local ID)9337 (Archive number)9337 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13
Nylander, G., Carlström, C. & Adolfsson, L. (1999). 4,5 year follow-up after surgical correction of upper extremity deformities in spastic cerebral palsy.. Journal of Hand Surgery - British and European Volume, 24, 719-723
Open this publication in new window or tab >>4,5 year follow-up after surgical correction of upper extremity deformities in spastic cerebral palsy.
1999 (English)In: Journal of Hand Surgery - British and European Volume, ISSN 0266-7681, E-ISSN 1532-2211, Vol. 24, p. 719-723Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-24828 (URN)9225 (Local ID)9225 (Archive number)9225 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13
Rajan, S., Nylander, G. & Fransson, S.-G. (1982). The Niebauer-Cutter prosthesis in excision arthroplasty of the trapezium. Journal of Hand Surgery, European Volume, 14(3), 295-303
Open this publication in new window or tab >>The Niebauer-Cutter prosthesis in excision arthroplasty of the trapezium
1982 (English)In: Journal of Hand Surgery, European Volume, ISSN 1753-1934, E-ISSN 2043-6289, Vol. 14, no 3, p. 295-303Article in journal (Refereed) Published
Abstract [en]

Sixteen patients had excision arthroplasty of the trapezium, using the Niebauer-Cutter prosthesis. The average period of postoperative follow-up was thirteen months. All patients had severe preoperative disabilities and the majority were relieved from resting pain and pain during active use of their hands. The postoperative range of motion with regard to the palmar and radial abduction was found to be satisfactory, while varying degrees of limitation of circumduction was the rule. There was no correlation between the patients' own judgment of the postoperative benefits and the objectively measured range of motion. One patient had a luxation of the prosthesis, while another had a subluxation when opposing the thumb. This frequency of luxation/subluxation seems to be less than that experienced with the other common type of prosthesis, the Swanson prosthesis. Although it is obvious that the ideal prosthesis for treatment of disabilities in the carpometacarpal joint of the thumb is still not available, it was concluded that the Niebauer-Cutter prosthesis is the best choice at the present.

Place, publisher, year, edition, pages
Sage Publications, 1982
National Category
Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-110726 (URN)10.1016/S0072-968X(82)80064-8 (DOI)A1982PT70300010 ()7152379 (PubMedID)
Available from: 2014-10-24 Created: 2014-09-19 Last updated: 2017-12-05
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