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TREATMENT OF STAGES IIIIV OF THE DUPUYTRENS DISEASE USING A PERSONAL APPROACH: PERCUTANEOUS NEEDLE FASCIOTOMY (PNF) AND MINIMAL INVASIVE SELECTIVE APONEURECTOMY.
MedLine Citation:
PMID:  24188318     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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. Keywords: aponeurectomy, Dupuytren, percutaneous needle fasciotomy, stage III and IV.
Authors:
B Corradino; S Di Lorenzo; F Moschella
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Acta chirurgiae plasticae     Volume:  55     ISSN:  0001-5423     ISO Abbreviation:  Acta Chir Plast     Publication Date:  2013  
Date Detail:
Created Date:  2013-11-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370301     Medline TA:  Acta Chir Plast     Country:  -    
Other Details:
Languages:  ENG     Pagination:  19-22     Citation Subset:  -    
Vernacular Title:
Léčba Dupuytrenovy kontraktury stupně III-IV vlastním postupem: perkutánní fasciotomie jehlou a minimálně invazivní selektivní aponeurektomií
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