Percutaneous Needle Fasciotomy Versus Collagenase Treatment for Dupuytren Contracture
نویسندگان
چکیده
منابع مشابه
Ultrasound-Assisted Percutaneous Needle Fasciotomy for Dupuytren's Contracture.
Although percutaneous needle fasciotomy for Dupuytren's contracture is a simple, inexpensive procedure, it is a blind procedure with risks including injury to nerves, arteries, and tendons. The authors describe a novel technique using ultrasound as an adjunct to percutaneous fasciotomy for Dupuytren's contracture. Generally, patients have no postoperative restrictions other than to avoid submer...
متن کاملDupuytren's contracture: an analysis of outcomes of percutaneous needle fasciotomy versus open fasciectomy.
BACKGROUND Percutaneous needle fasciotomy (PNF) is a minimally invasive technique used to manage Dupuytren's contracture. We compared outcomes of PNF versus open fasciectomy (OF) to examine the suitability of PNF in Australia. METHOD A retrospective cohort study using two questionnaires regarding Dupuytren's treatment was used to assess patients with uncomplicated primary disease. The primary...
متن کاملCollagenase Dupuytren Contracture: Achieving Single Treatment Success with a Hand Therapist-Based Protocol
UNLABELLED Surgery remains the gold standard in the treatment of Dupuytren contracture but is technically demanding, carries significant risk of complications, and requires prolonged recovery time. Collagenase injection is an efficacious alternative to surgery; however, contracture release often requires multiple treatments spaced a month apart. We report our experience with a new collagenase t...
متن کاملCollagenase Treatment in Dupuytren Contractures: A Review of the Current State Versus Future Needs
Dupuytren disease is highly prevalent and the finger contractures can be very extensile, compromising the patients' hand function. To restore full function, contractures have been addressed by cutting the causative strands for nearly 200 years, ever since Baron Guillaume Dupuytren demonstrated his technique at the beginning of the nineteenth century. Surgery can be minimal (fasciotomy) or quite...
متن کاملManagement of Dupuytren contracture with ultrasound-guided lidocaine injection and needle aponeurotomy coupled with osteopathic manipulative treatment.
Dupuytren contracture is a debilitating disease that characteristically presents as a firm nodularity on the palmar surface of the hand with coalescing cords of soft tissue on the webs and digits. With few nonsurgical modalities providing clinical benefits, open surgical procedures are the standard of care for patients with this condition. However, recent studies have associated surgical interv...
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ژورنال
عنوان ژورنال: Journal of Bone and Joint Surgery
سال: 2018
ISSN: 0021-9355,1535-1386
DOI: 10.2106/jbjs.17.01128