Introduction: Dupuytren's disease is a fibroproliferative disorder of the palmar aponeurosis that leads to digital flexion contractures. This disabling condition can be treated with a minimally invasive procedure, called percutaneous needle aponeurotomy (PNA).
Objective: To report the results of 10 years of experience treating Dupuytren's contracture by PNA in the rheumatology hand unit of our department.
Methods: We conducted a retrospective study with a description of method to perform PNA and analysis of post-procedure results.
Results: There were 197 patients with Dupuytren's disease. Ninety-eight patients (49.7%) underwent PNA, corresponding to 117 treated fingers. Good immediate results were achieved in 84% of the patients, with results being better in those with less advanced stages. Recurrences occurred in 12% of the patients. The complication rate was 1.7%.
Conclusion: Our results confirm the value of this technique especially in the early stages of Dupuytren's disease, with immediate satisfactory results and a low rate of complications.
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| http://dx.doi.org/10.1016/j.rh.2020.02.007 | DOI Listing |
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