Journal
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
Volume 139, Issue 10, Pages 1471-1477Publisher
SPRINGER
DOI: 10.1007/s00402-019-03247-y
Keywords
Percutaneous needle fasciotomy; Dupuytren's contracture; Aponeurectomy; Recurrence rate; Complication rate
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Introduction The partial aponeurectomy for treatment of Dupuytren's contracture represents the gold standard for treatment of Dupuytren's contracture. In selected cases, the alternative is the percutaneous needle fasciotomy (PNF). Materials and methods Between 2008 and 2018, 80 rays in 64 patients were treated using PNF. 53 patients (68 rays) were reviewed with a mean follow-up of 31 months. Results The recurrence rate was 18.9%. 49 patients with 62 rays had a totally free extension intra-operatively (92.4%). There were no complications. Only one patient reported a transient dysesthesia (1.8%) in the zone of operation. 86% of all patients would undergo the treatment again, if necessary. Patients were able to return to their job in an average of 5.5 days. Conclusions PNF is reliable and relatively simple to perform compared to partial aponeurectomy. Therefore, the PNF could be seen as a serious alternative for selected cases.
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