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Erschienen in:
31.07.2019 | Handsurgery
Analysis of recurrence and complications after percutaneous needle fasciotomy in Dupuytren’s disease
Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 10/2019
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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.