12 doctors weighed in:

Has anyone done needle aponeurotomy for dupuytren's contracture?

12 doctors weighed in
Dr. Robert Gluck
Surgery - Hand Surgery
3 doctors agree

In brief: 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.

In brief: 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.
Dr. Robert Gluck
Dr. Robert Gluck
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1 comment
Dr. Jeffrey Wint
a site that offers new treatment updates is http://tinyurl.com/b5mn7vg
Dr. Jeffrey Wint
Surgery - Hand Surgery
2 doctors agree

In brief: 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

In brief: 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
Dr. Jeffrey Wint
Dr. Jeffrey Wint
Thank
1 comment
Dr. Roy Arnold
I had both hands repaired 5-6 years ago via open approach. Not a bad surgery but less invasive technique would have been preferable to me had it been available.
Dr. Raymond Raven
Surgery - Hand Surgery
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Raymond Raven
Dr. Raymond Raven
Thank
Dr. Gary Pess
Surgery - Hand Surgery
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Gary Pess
Dr. Gary Pess
Thank
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