Dupuytren's contracture.

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Abstract

[Indexed for MEDLINE] 5. Hand Clin. 2018 Aug;34(3):331-344. doi: 10.1016/j.hcl.2018.03.003. Needle Aponeurotomy for Dupuytren Disease. Elzinga KE(1), Morhart MJ(2). Author information: (1)Section of Plastic Surgery, University of Calgary, 4448 Front Street Southeast, Calgary, Alberta T3M 1M4, Canada. (2)Division of Plastic Surgery, University of Alberta, 14310 111 Avenue Northwest, Edmonton, Alberta T5M 3Z7, Canada. Electronic address: MMorhart@morhart.ca. Needle aponeurotomy is an effective, minimally invasive treatment for metacarpophalangeal and interphalangeal joint contractures caused by Dupuytren disease. Multiple joints and digits can be safely treated in 1 session. Needle aponeurotomy is more cost-effective and has a significantly lower complication rate compared with open fasciectomy and collagenase injections. Recurrence rates are higher compared with open fasciectomy and collagenase injections. Patient satisfaction rates are high following needle aponeurotomy; the single clinic visit required and the minimal downtime after treatment are advantages unique to this procedure compared with other treatment modalities, including open fasciectomy, dermatofasciectomy, collagenase injections, and lipofilling. Copyright © 2018 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2018.03.003