title: "Hills, Plains, and Valleys": A Topographical Concept in the Treatment of Dupuytren's Contracture With Needle Aponeurotomy.
abstract: Needle aponeurotomy is emerging as a preferred choice of treatment for patients with Dupuytren's contracture keen on a quick, minimally invasive procedure that enables a rapid return of hand function. This article describes a unique topographical concept in the treatment of Dupuytren's contracture with needle aponeurotomy. This concept guides portal placement in a planned manner to achieve better correction and avoid potential complications.
authors.affiliation: Dumfries and Galloway Royal Infirmary, Dumfries, Scotland, UK.
authors.forename: Roshin
authors.initials: R
authors.lastname: Thomas
authors.forename: Emmett
authors.initials: E
authors.lastname: O'Flaherty
mesh_terms: D000368:Aged; D015331:Cohort Studies; D004387:Dupuytren Contracture / Q000175:diagnosis / Q000601:surgery*; D000071938:Fasciotomy / Q000295:instrumentation* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009339:Needles; D019637:Orthopedic Procedures / Q000379:methods; D020127:Recovery of Function; D018570:Risk Assessment; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome