Dupuytren's contracture: an analysis of outcomes of percutaneous needle fasciotomy versus open fasciectomy.
Jason T Toppi, Leisel Trompf, Nicolas R Smoll, Vivian Lim, Katrina Smith, Michael W Findlay, David J Hunter-Smith
ANZ J Surg | Published : 2015
BACKGROUND: Percutaneous needle fasciotomy (PNF) is a minimally invasive technique used to manage Dupuytren's contracture. We compared outcomes of PNF versus open fasciectomy (OF) to examine the suitability of PNF in Australia. METHOD: A retrospective cohort study using two questionnaires regarding Dupuytren's treatment was used to assess patients with uncomplicated primary disease. The primary outcomes were immediate and medium-term correction of contracture (2-year mean follow-up to time of survey). Secondary outcomes were patient satisfaction and complications including tendon/nerve injury, infection, skin necrosis and vascular damage. RESULTS: One hundred fifty-five out of 191 surveys we..View full abstract