• Arch Orthop Trauma Surg · Oct 2019

    Analysis of recurrence and complications after percutaneous needle fasciotomy in Dupuytren's disease.

    • P Moog, L Buchner, M K Cerny, D Schmauss, K Megerle, and H Erne.
    • Department for Plastic Surgery and Hand Surgery, Klinikum Rechts Der Isar, Technische Universität München, Ismaningerstrasse 22, 81675, Munich, Germany. philippmoog@web.de.
    • Arch Orthop Trauma Surg. 2019 Oct 1; 139 (10): 1471-1477.

    IntroductionThe 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 MethodsBetween 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.ResultsThe 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.ConclusionsPNF 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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