Hand Surgery in the Context of Scleroderma
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Abstract
Patients with systemic sclerosis (SSc, scleroderma) offer challenges inherent in surgical interventions involving the hands, including poor circulation, compromised and inelastic dermis, constantly ulceration, and immunocompromised systemic status, constantly aggravated by immunosuppressive drugs. Despite these challenges, certain drawbacks that are affecting the hands of patients with CSS are best treated by surgery. Surgical methods in the hands of patients with SSc mainly aim to address the next complications: Digital ischemia, deformities of the interphalangeal (IP) and metacarpophalangeal joints (MCP), and Calcinosis cutis.
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