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Early Postoperative Results of Percutaneous Needle Fasciotomy in 451 Patients with Dupuytren Disease.
Plast Reconstr Surg. 2017 Jun; 139(6):1415-1421.PR

Abstract

BACKGROUND

Percutaneous needle fasciotomy is a minimally invasive treatment modality for Dupuytren disease. In this study, the authors analyzed the efficacy and complication rate of percutaneous needle fasciotomy using a statistical method that takes the multilevel structure of data, regarding multiple measurements from the same patient, into account.

METHODS

The data of 470 treated rays from 451 patients with Dupuytren disease that underwent percutaneous needle fasciotomy were analyzed retrospectively. The authors described the early postoperative results of percutaneous needle fasciotomy and applied linear mixed models to compare mean correction of passive extension deficit between joints and efficacy of primary versus secondary percutaneous needle fasciotomy.

RESULTS

Mean preoperative passive extension deficits at the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints were 37, 40, and 31 degrees, respectively. Mean preoperative total passive extension deficit was 54 degrees. Results were excellent, with a mean total passive extension deficit correction of 85 percent. Percutaneous needle fasciotomy was most effective for metacarpophalangeal joints and less effective for proximal interphalangeal and distal interphalangeal joints. Secondary percutaneous needle fasciotomy was as effective as primary percutaneous needle fasciotomy. Complications were rare and mostly minor.

CONCLUSION

The results of this study confirm that percutaneous needle fasciotomy is an effective and safe treatment modality for patients with mild to moderate disease who prefer a minimally invasive procedure.

CLINICAL QUESTION/LEVEL OF EVIDENCE

Therapeutic, IV.

Authors+Show Affiliations

Groningen, The Netherlands From the Department of Plastic Surgery, University of Groningen and University Medical Center Groningen; and the Department of Rheumatology, Medical Center Alkmaar.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28538569

Citation

Molenkamp, Sanne, et al. "Early Postoperative Results of Percutaneous Needle Fasciotomy in 451 Patients With Dupuytren Disease." Plastic and Reconstructive Surgery, vol. 139, no. 6, 2017, pp. 1415-1421.
Molenkamp S, Schouten TAM, Broekstra DC, et al. Early Postoperative Results of Percutaneous Needle Fasciotomy in 451 Patients with Dupuytren Disease. Plast Reconstr Surg. 2017;139(6):1415-1421.
Molenkamp, S., Schouten, T. A. M., Broekstra, D. C., Werker, P. M. N., & Moolenburgh, J. D. (2017). Early Postoperative Results of Percutaneous Needle Fasciotomy in 451 Patients with Dupuytren Disease. Plastic and Reconstructive Surgery, 139(6), 1415-1421. https://doi.org/10.1097/PRS.0000000000003357
Molenkamp S, et al. Early Postoperative Results of Percutaneous Needle Fasciotomy in 451 Patients With Dupuytren Disease. Plast Reconstr Surg. 2017;139(6):1415-1421. PubMed PMID: 28538569.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early Postoperative Results of Percutaneous Needle Fasciotomy in 451 Patients with Dupuytren Disease. AU - Molenkamp,Sanne, AU - Schouten,Tanneke A M, AU - Broekstra,Dieuwke C, AU - Werker,Paul M N, AU - Moolenburgh,J Daniel, PY - 2017/5/25/entrez PY - 2017/5/26/pubmed PY - 2017/9/2/medline SP - 1415 EP - 1421 JF - Plastic and reconstructive surgery JO - Plast. Reconstr. Surg. VL - 139 IS - 6 N2 - BACKGROUND: Percutaneous needle fasciotomy is a minimally invasive treatment modality for Dupuytren disease. In this study, the authors analyzed the efficacy and complication rate of percutaneous needle fasciotomy using a statistical method that takes the multilevel structure of data, regarding multiple measurements from the same patient, into account. METHODS: The data of 470 treated rays from 451 patients with Dupuytren disease that underwent percutaneous needle fasciotomy were analyzed retrospectively. The authors described the early postoperative results of percutaneous needle fasciotomy and applied linear mixed models to compare mean correction of passive extension deficit between joints and efficacy of primary versus secondary percutaneous needle fasciotomy. RESULTS: Mean preoperative passive extension deficits at the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints were 37, 40, and 31 degrees, respectively. Mean preoperative total passive extension deficit was 54 degrees. Results were excellent, with a mean total passive extension deficit correction of 85 percent. Percutaneous needle fasciotomy was most effective for metacarpophalangeal joints and less effective for proximal interphalangeal and distal interphalangeal joints. Secondary percutaneous needle fasciotomy was as effective as primary percutaneous needle fasciotomy. Complications were rare and mostly minor. CONCLUSION: The results of this study confirm that percutaneous needle fasciotomy is an effective and safe treatment modality for patients with mild to moderate disease who prefer a minimally invasive procedure. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. SN - 1529-4242 UR - https://www.unboundmedicine.com/medline/citation/28538569/Early_Postoperative_Results_of_Percutaneous_Needle_Fasciotomy_in_451_Patients_with_Dupuytren_Disease_ L2 - http://Insights.ovid.com/pubmed?pmid=28538569 DB - PRIME DP - Unbound Medicine ER -