A member asked:

Has anyone done needle aponeurotomy for dupuytren's contracture?

12 doctors weighed in across 4 answers
Dr. Raymond Raven answered

Specializes in Hand Surgery

Of course: Hand surgery perform various procedures for dupuytren's disease. For contractors we use open fascectomy (surgery), needle aponeurotomy, and enzyme therapy (collagenase, xiaflex(r)). Although I have my preference for different stages of disease and location of contracture (pip vs mcp joint) there is currently no scientific evidence to support one treatment over another.

Answered 9/17/2015

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Yes: Yes, needle aponeurotomy (na) was brought over from europe but is now offered in the us. The competing non-surgical technique is xiaflex (collagenase clostridium histolyticum) Collagenase which has been much more carefully studied and standardized in terms of results and risks. In my own practice, i offer na as well as xiaflex (collagenase clostridium histolyticum) and surgery. Each case needs to be individualized and benefits and risks clearly understood by the patient.

Answered 6/24/2014

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Dr. Gary Pess answered

Specializes in Hand Surgery

Over 4,000: Please see my web page for lots of info on needle aponeurotomy, pros and cons of the treatment and a complete copy of my april 2012 paper on the results of 3 year followup in over 1, 000 patients. http://www.centraljerseyhand.com/dupuytrens-contracture-surgery.htm.

Answered 6/25/2014

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Dr. Jeffrey Wint answered

Specializes in Hand Surgery

Needle aponeorotomy: Needle aponeurotomy for dupuytren's disease is a well accepted mode of treatment. Other treatments include include Xiaflex (collagenase clostridium histolyticum) and surgery. IN NA the cord is perforated at several spots and then= the finger is extended. With xiaflex (collagenase clostridium histolyticum) the crd is injected and an area disolves allowng extension. Surgery removes affected tissue http://www.handctr.com/dupuytrens-disease-faq.html

Answered 11/5/2014

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