[Non-surgical treatment of Dupuytren disease using needle fasciotomy].
Short-term and five-year outcomes after nonsurgical treatment of Dupuytren's contracture by needle fasciotomy were studied. Among the 138 patients who were evaluated, 90 (123 hands) were seen five years after the procedure. Outcome was excellent or good in 81% of cases in the short term and 69% of cases after 5 years. Adverse events included skin breaks (20 hands, 16% of cases), digital dysesthesia due to nerve damage (3 patients, 2% of cases), and local infection (3 patients, 2% of cases). Five-year recurrence rate was 50.4%. These findings demonstrate the value of needle fasciotomy especially in the early stages of Dupuytren's disease.
Badois
F J
FJ
Centre Viggo Petersen, Hôpital Lariboisière, Paris.
Lermusiaux
J L
JL
Massé
C
C
Kuntz
D
D
D004387:Dupuytren Contracture / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D005205:Fascia; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008722:Methods; D009339:Needles; D012008:Recurrence; D013997:Time Factors
Traitement non chirurgical de la maladie de Dupuytren par aponévrotomie à l'aiguille.