Treatment of stages III-IV of the Dupuytren's disease using a personal approach: percutaneous needle fasciotomy (PNF) and minimal invasive selective aponeurectomy

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Abstract

Abstract The authors present their experience in treating 23 fingers on 20 patients affected by Dupuytrens Disease in stages III and IV of the Tubiana classification with their personal technique that involves the percutaneous needle fasciotomy followed 40 days after by a selective open aponeurectomy on the previously treated cord, by making a small cutaneous incision. The treatment requires careful selection of the patients. In fact, patients suffering from the disease for more than 5 years and all the cases with a suspicion of joint rigidity are excluded from the study. The average follow up period was approximately 48 months. 18 out of the 20 patients had excellent functional recovery. Skin grafts or local flaps are not required after selective aponeurectomy with these surgical steps. The advantages of this technique include its simplicity, minimal discomfort to patients, rapid functional recovery, low recurrence rate and low cost.
Lingua originaleEnglish
pagine (da-a)19-22
Numero di pagine4
RivistaActa Chirurgiae Plasticae
Volume55
Stato di pubblicazionePublished - 2013

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Dupuytren Contracture
Needles
Skin
Therapeutics
Patient Selection
Fingers
Joints
Transplants
Costs and Cost Analysis
Recurrence
Fasciotomy

All Science Journal Classification (ASJC) codes

  • Surgery
  • Medicine(all)

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title = "Treatment of stages III-IV of the Dupuytren's disease using a personal approach: percutaneous needle fasciotomy (PNF) and minimal invasive selective aponeurectomy",
abstract = "Abstract The authors present their experience in treating 23 fingers on 20 patients affected by Dupuytrens Disease in stages III and IV of the Tubiana classification with their personal technique that involves the percutaneous needle fasciotomy followed 40 days after by a selective open aponeurectomy on the previously treated cord, by making a small cutaneous incision. The treatment requires careful selection of the patients. In fact, patients suffering from the disease for more than 5 years and all the cases with a suspicion of joint rigidity are excluded from the study. The average follow up period was approximately 48 months. 18 out of the 20 patients had excellent functional recovery. Skin grafts or local flaps are not required after selective aponeurectomy with these surgical steps. The advantages of this technique include its simplicity, minimal discomfort to patients, rapid functional recovery, low recurrence rate and low cost.",
author = "Francesco Moschella and Bartolo Corradino and {Di Lorenzo}, Sara",
year = "2013",
language = "English",
volume = "55",
pages = "19--22",
journal = "Acta Chirurgiae Plasticae",
issn = "0001-5423",
publisher = "Czech Medical Association J.E. Purkyne",

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TY - JOUR

T1 - Treatment of stages III-IV of the Dupuytren's disease using a personal approach: percutaneous needle fasciotomy (PNF) and minimal invasive selective aponeurectomy

AU - Moschella, Francesco

AU - Corradino, Bartolo

AU - Di Lorenzo, Sara

PY - 2013

Y1 - 2013

N2 - Abstract The authors present their experience in treating 23 fingers on 20 patients affected by Dupuytrens Disease in stages III and IV of the Tubiana classification with their personal technique that involves the percutaneous needle fasciotomy followed 40 days after by a selective open aponeurectomy on the previously treated cord, by making a small cutaneous incision. The treatment requires careful selection of the patients. In fact, patients suffering from the disease for more than 5 years and all the cases with a suspicion of joint rigidity are excluded from the study. The average follow up period was approximately 48 months. 18 out of the 20 patients had excellent functional recovery. Skin grafts or local flaps are not required after selective aponeurectomy with these surgical steps. The advantages of this technique include its simplicity, minimal discomfort to patients, rapid functional recovery, low recurrence rate and low cost.

AB - Abstract The authors present their experience in treating 23 fingers on 20 patients affected by Dupuytrens Disease in stages III and IV of the Tubiana classification with their personal technique that involves the percutaneous needle fasciotomy followed 40 days after by a selective open aponeurectomy on the previously treated cord, by making a small cutaneous incision. The treatment requires careful selection of the patients. In fact, patients suffering from the disease for more than 5 years and all the cases with a suspicion of joint rigidity are excluded from the study. The average follow up period was approximately 48 months. 18 out of the 20 patients had excellent functional recovery. Skin grafts or local flaps are not required after selective aponeurectomy with these surgical steps. The advantages of this technique include its simplicity, minimal discomfort to patients, rapid functional recovery, low recurrence rate and low cost.

UR - http://hdl.handle.net/10447/99287

M3 - Article

VL - 55

SP - 19

EP - 22

JO - Acta Chirurgiae Plasticae

JF - Acta Chirurgiae Plasticae

SN - 0001-5423

ER -