Needle aponeurotomy may be performed on fingers that are severely bent ( stage IV ), and not just in early stages.
2.
Before the aponeurotomy, a liposuction is done to the abdomen and ipsilateral flank to collect the lipograft . The treatment can be performed under regional or general anesthesia.
3.
Needle aponeurotomy provided successful correction to 5?or less contracture immediately post procedure in 98 % ( 791 ) of MP joints and 67 % ( 350 ) of PIP joints.
4.
The main categories listed by the International Dupuytren Society in order of stage of disease are Radiation Therapy, Needle Aponeurotomy ( NA ), Collagenase Injection ( Xiaflex ) and Hand Surgery.
5.
The advantage of needle aponeurotomy is the minimal intervention without incision ( done in the office under local anesthesia ) and the very rapid return to normal activities without need for rehabilitation, but the nodules may resume growing.
6.
A comprehensive review of the results of needle aponeurotomy in 1, 013 fingers was performed by Gary M . Pess, MD, Rebecca Pess, DPT and Rachel Pess, PsyD and published in the Journal of Hand Surgery April 2012.
मोबाइल