[Non-surgical treatment of Dupuytren's disease by using percutaneous needle aponeurotomy: A 10-year experience].

Autor:	Ferreira RM; Servicio de Reumatología, Centro Hospitalar São João, Porto, Portugal. Electronic address: rakelmiriam@gmail.com., Fidalgo I; Servicio de Reumatología, Centro Hospitalar São João, Porto, Portugal., Pimenta S; Servicio de Reumatología, Centro Hospitalar São João, Porto, Portugal., Costa L; Servicio de Reumatología, Centro Hospitalar São João, Porto, Portugal.
Jazyk:	Spanish; Castilian
Zdroj:	Rehabilitacion [Rehabilitacion (Madr)] 2020 Oct - Dec; Vol. 54 (4), pp. 249-253. Date of Electronic Publication: 2020 May 04.
DOI:	10.1016/j.rh.2020.02.007
Abstrakt:	Introduction: Dupuytren's disease is a fibroproliferative disorder of the palmar aponeurosis that leads to digital flexion contractures. This disabling condition can be treated with a minimally invasive procedure, called percutaneous needle aponeurotomy (PNA). Objective: To report the results of 10 years of experience treating Dupuytren's contracture by PNA in the rheumatology hand unit of our department. Methods: We conducted a retrospective study with a description of method to perform PNA and analysis of post-procedure results. Results: There were 197 patients with Dupuytren's disease. Ninety-eight patients (49.7%) underwent PNA, corresponding to 117 treated fingers. Good immediate results were achieved in 84% of the patients, with results being better in those with less advanced stages. Recurrences occurred in 12% of the patients. The complication rate was 1.7%. Conclusion: Our results confirm the value of this technique especially in the early stages of Dupuytren's disease, with immediate satisfactory results and a low rate of complications. (Copyright © 2020 Sociedad Española de Rehabilitación y Medicina Física. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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