The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review.
OBJECTIVE
To detail the transition to a totally one-stop wide-awake (OSWA) Dupuytren's contracture surgical service.


METHODS
Retrospective review of Dupuytren's component of last 1000 OSWA cases.


METHODS
The UK's first totally one-stop wide-awake orthopaedic service.


METHODS
270 patients with Dupuytren's contracture out of the last 1000 OSWA cases.


METHODS
Surgical outcomes, patient satisfaction and cost-effectiveness and efficiency.


RESULTS
The OSWA Dupuytren's model is safe, efficient and effective; with a low complication rate, extremely high patient satisfaction; and cost-savings to the nhs of £2500 per case treated. The service saved the NHS approximately £675,000 for the 270 cases presented.


CONCLUSIONS
A totally one-stop wide-awake Dupuytren's Contracture service is practicable and feasible alternative to the conventional treatment pathway, with benefits in terms of efficiency and cost-effectiveness.
Consultant Orthopaedic Surgeon, The Wellington Hospital ,  London NW8 9LE ,  UK.
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Julia
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Roberts
Jennifer
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Brewster