[Percutaneous needle aponeurotomy for Dupuytren's contracture].
Dupuytren disease is a benign fibroproliferative disease of the palmar aponeurosis, which can cause considerable functional deficiencies for the person concerned. Partial aponeurectomy is the gold standard in primary surgery. Because it is minimally invasive and has short recovery and low complication rates, the importance of needle aponeurotomy under specific indications has been increasing in the last years. Needle aponeurotomy is a cost-effective treatment with low complication rates. The revision rate compared to partial aponeurectomy is higher. Under consideration of specified indications, needle aponeurotomy is an alternative treatment option.
Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universität zu Köln, Köln, Deutschland.
J
J
Oppermann
Abteilung für Handchirurgie, Vulpius Klinik Bad Rappenau, Vulpiusstraße 29, 70906, Bad Rappenau, Deutschland.|Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland.
F
F
Unglaub
Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universität zu Köln, Köln, Deutschland.
L P
LP
Müller
Sektion Handchirurgie Klinik für Orthopädie und Unfallchirurgie, Caritas Krankenhaus Bad Mergentheim, Bad Mergentheim, Deutschland.
S
S
Löw
Abteilung für Handchirurgie, Vulpius Klinik Bad Rappenau, Vulpiusstraße 29, 70906, Bad Rappenau, Deutschland.
P
P
Hahn
Abteilung für Handchirurgie, Vulpius Klinik Bad Rappenau, Vulpiusstraße 29, 70906, Bad Rappenau, Deutschland. christianspies27@gmail.com.
C K
CK
Spies
D004387:Dupuytren Contracture / Q000473:pathology / Q000601:surgery*; D019317:Evidence-Based Medicine; D005205:Fascia / Q000473:pathology; D000071938:Fasciotomy / Q000295:instrumentation / Q000379:methods*; D006225:Hand / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D009339:Needles; D011677:Punctures / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome
Fascia; Fibromatosis, palmar; Hand; Healthcare costs; Orthopedic surgical procedures