Modified percutaneous needle aponeurotomy for the treatment of dupuytren's contracture: early results and complications

Hand : Official Journal of the American Association for Hand Surgery
Fernando Antonio HerreraProsper Benhaim

Abstract

The purpose of our study was to identify postoperative results and complications using a percutaneous approach to treat Dupuytren's contracture in a consecutive series of patients. A review of all patients with Dupuytren's contracture treated with percutaneous needle aponeurotomy (NA) from 2008 to 2010 was performed. Patient demographics, digits affected, and disease severity was recorded. Pre-operative total passive extension deficit (TPED) was calculated for each affected digit. TPED in the immediate postoperative period and at the time of most recent follow-up was measured. Treatment-related complications and incidence of disease recurrence were identified. Statistical analysis was performed using paired t-test. (Statistical significance p-value <0.05). 525 digits in 193 hands were treated with NA. 140 patients were male, average age was 65 years. The average preoperative TPED was 41° and the average immediate postoperative TPED was 1° (98% correction) (P=0.0001). The average TPED at 4.5 month follow up was 11 o (73% correction). Complications included infection in 3 patients and one case each of triggering, delayed flexor tendon rupture, complex regional pain syndrome and persistent numbness. Recurrence was observed in 62 d...Continue Reading

References

Aug 1, 1988·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A S Bryan, M S Ghorbal
Sep 5, 2003·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G FoucherR Navarro
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Sep 4, 2009·The New England Journal of Medicine·Lawrence C HurstUNKNOWN CORD I Study Group
Apr 30, 2011·The Journal of Hand Surgery·Charles Eaton

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Citations

Dec 28, 2016·Plastic and Reconstructive Surgery·Keith A DenklerScott L Hansen
Apr 7, 2017·Techniques in Hand & Upper Extremity Surgery·Roshin Thomas, Emmett O'Flaherty
Aug 31, 2018·Annals of Plastic Surgery·Juan Rodolfo MellaVirginia Hung
Oct 9, 2020·JAMA Network Open·Alfred P YoonKevin C Chung

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BETA
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