Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 10/2019

01-10-2019 | Dupuytren Disease | Handsurgery

Analysis of recurrence and complications after percutaneous needle fasciotomy in Dupuytren’s disease

Authors: P. Moog, L. Buchner, M. K. Cerny, D. Schmauss, K. Megerle, H. Erne

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2019

Login to get access

Abstract

Introduction

The partial aponeurectomy for treatment of Dupuytren’s contracture represents the gold standard for treatment of Dupuytren’s contracture. In selected cases, the alternative is the percutaneous needle fasciotomy (PNF).

Materials and methods

Between 2008 and 2018, 80 rays in 64 patients were treated using PNF. 53 patients (68 rays) were reviewed with a mean follow-up of 31 months.

Results

The recurrence rate was 18.9%. 49 patients with 62 rays had a totally free extension intra-operatively (92.4%). There were no complications. Only one patient reported a transient dysesthesia (1.8%) in the zone of operation. 86% of all patients would undergo the treatment again, if necessary. Patients were able to return to their job in an average of 5.5 days.

Conclusions

PNF is reliable and relatively simple to perform compared to partial aponeurectomy. Therefore, the PNF could be seen as a serious alternative for selected cases.
Literature
1.
go back to reference Oppermann J, Unglaub F, Müller LP, Löw S, Hahn P, Spies CK (2017) Percutaneous needle aponeurotomy for Dupuytren’s contracture. Orthopäde 46:315–320CrossRef Oppermann J, Unglaub F, Müller LP, Löw S, Hahn P, Spies CK (2017) Percutaneous needle aponeurotomy for Dupuytren’s contracture. Orthopäde 46:315–320CrossRef
2.
go back to reference Zhang AY, Kargel JS (2018) The basic science of Dupuytren disease. Hand Clin 34(3):301–305CrossRef Zhang AY, Kargel JS (2018) The basic science of Dupuytren disease. Hand Clin 34(3):301–305CrossRef
3.
go back to reference Hindocha S, Mcgrouther DA, Bayat A (2009) Epidemiological evaluation of Dupuytren’s disease incidence and prevalence rates in relation to etiology. Hand (NY) 4:256–269CrossRef Hindocha S, Mcgrouther DA, Bayat A (2009) Epidemiological evaluation of Dupuytren’s disease incidence and prevalence rates in relation to etiology. Hand (NY) 4:256–269CrossRef
4.
go back to reference Lanting R, van Den Heuvel ER, Westerink B, van Den Heuvel ER (2013) Prevalence of Dupuytren disease in the Netherlands. Plast Reconstr Surg 132:394–403CrossRef Lanting R, van Den Heuvel ER, Westerink B, van Den Heuvel ER (2013) Prevalence of Dupuytren disease in the Netherlands. Plast Reconstr Surg 132:394–403CrossRef
5.
go back to reference Manet MP, Roulot E, Teyssedou JP, Lahalle S, Ziza JM (2011) Dupuytren’s contracture: percutaneous needle aponeurotomy is an alternative to surgery. Rev Med Interne 32(4):241–248CrossRef Manet MP, Roulot E, Teyssedou JP, Lahalle S, Ziza JM (2011) Dupuytren’s contracture: percutaneous needle aponeurotomy is an alternative to surgery. Rev Med Interne 32(4):241–248CrossRef
6.
go back to reference Vesper US, Mehling IM, Arsalan-Werner A, Sauerbier M (2017) Primary intervention in Dupuytren’s disease. Orthopädie 46:336–341CrossRef Vesper US, Mehling IM, Arsalan-Werner A, Sauerbier M (2017) Primary intervention in Dupuytren’s disease. Orthopädie 46:336–341CrossRef
7.
8.
go back to reference Rodrigues JN, Becker GW, Ball C et al (2015) Surgery for Dupuytren’s contracture of the fingers. Cochrane Database Syst Rev 12:CD010143 Rodrigues JN, Becker GW, Ball C et al (2015) Surgery for Dupuytren’s contracture of the fingers. Cochrane Database Syst Rev 12:CD010143
9.
go back to reference Denkler K (2010) Surgical complications associated with fasciectomy for Dupuytren’s disease: a 20-year review of the English literature. Eplasty 10:15 Denkler K (2010) Surgical complications associated with fasciectomy for Dupuytren’s disease: a 20-year review of the English literature. Eplasty 10:15
10.
go back to reference De Seze S, Debeyre N (1957) Traitement de la maladie de Dupuytren par l’hydrocortisone locale associée aux manoeuvres de redressement (70 cas traité). Rev Rhum 24:540–550 De Seze S, Debeyre N (1957) Traitement de la maladie de Dupuytren par l’hydrocortisone locale associée aux manoeuvres de redressement (70 cas traité). Rev Rhum 24:540–550
11.
go back to reference Lermusiaux JL, Debeyre N (1979), Le traitement medical de la maladie de Dupuytren. Expansion Scientifique, Rhumatologique, Paris, pp 338–343 Lermusiaux JL, Debeyre N (1979), Le traitement medical de la maladie de Dupuytren. Expansion Scientifique, Rhumatologique, Paris, pp 338–343
12.
go back to reference Richter M (2017) Comment on “The Technique of enhanced percutaneous needle fasciotomy (PNF) for Dupuytren’s contracture”. Handchir Mikrochir Plast Chir 49:51–52CrossRef Richter M (2017) Comment on “The Technique of enhanced percutaneous needle fasciotomy (PNF) for Dupuytren’s contracture”. Handchir Mikrochir Plast Chir 49:51–52CrossRef
13.
go back to reference Foucher G, Medina J, Navarro R (2001) Percutaneous needle aponeurotomy: complication and results. Hand Surg Br 28(5):427–431CrossRef Foucher G, Medina J, Navarro R (2001) Percutaneous needle aponeurotomy: complication and results. Hand Surg Br 28(5):427–431CrossRef
14.
go back to reference Tubiana R (1961) Evaluation chiffrée de la déformation dans la maladie de Dupuytren. Mem Acad Chir 87:887–888 Tubiana R (1961) Evaluation chiffrée de la déformation dans la maladie de Dupuytren. Mem Acad Chir 87:887–888
15.
go back to reference Warwick D (2017) Dupuytren’s disease: my personal view. J Hand Surg Br 42(7):665–671CrossRef Warwick D (2017) Dupuytren’s disease: my personal view. J Hand Surg Br 42(7):665–671CrossRef
16.
go back to reference Felici N, Marcoccio I, Giunta R et al (2014) Dupuytren contracture recurrence project: reaching consensus on a definition of recurrence. Handchir Mikrochir Plast Chir. 46:350–354CrossRef Felici N, Marcoccio I, Giunta R et al (2014) Dupuytren contracture recurrence project: reaching consensus on a definition of recurrence. Handchir Mikrochir Plast Chir. 46:350–354CrossRef
17.
go back to reference Reichert B, Baringer M (2018) Preferred treatment options of German hand surgeons in Dupuytren disease. Handchir Mikrochir Plast Chir. 50(3):196–201CrossRef Reichert B, Baringer M (2018) Preferred treatment options of German hand surgeons in Dupuytren disease. Handchir Mikrochir Plast Chir. 50(3):196–201CrossRef
18.
go back to reference Spies CK, Müller LP, Skouras E, Bassemir D, Hahn P, Unglaub F (2016) Percutaneous needle aponeurotomy for Dupuytren disease. Oper Orthop Traumatol 28(1):12–19CrossRef Spies CK, Müller LP, Skouras E, Bassemir D, Hahn P, Unglaub F (2016) Percutaneous needle aponeurotomy for Dupuytren disease. Oper Orthop Traumatol 28(1):12–19CrossRef
19.
go back to reference Badois FJ, Jl Lermusaux, Massé C et al (1993) Non-surgical treatment of Dupuytren disease using needle fasciotomy. Rev Rhum Ed Fr. 60:808–813PubMed Badois FJ, Jl Lermusaux, Massé C et al (1993) Non-surgical treatment of Dupuytren disease using needle fasciotomy. Rev Rhum Ed Fr. 60:808–813PubMed
20.
go back to reference Pereira A, Massada M, Sousa R, Silva C, Trigueiros M, Lemos R (2012) Percutaneous needle fasciotomy in Dupuytren’s contracture: is it viable technique? Acta Orthop Belg. 78(1):30–34PubMed Pereira A, Massada M, Sousa R, Silva C, Trigueiros M, Lemos R (2012) Percutaneous needle fasciotomy in Dupuytren’s contracture: is it viable technique? Acta Orthop Belg. 78(1):30–34PubMed
21.
go back to reference van Rijssen AL, Werker PM (2006) Percutaneous needle fasciotomy in dupuytren’s disease. J Hand Surg Br. 31(5):498–501CrossRef van Rijssen AL, Werker PM (2006) Percutaneous needle fasciotomy in dupuytren’s disease. J Hand Surg Br. 31(5):498–501CrossRef
22.
go back to reference van Rijssen AL, Werker PM (2012) Percutaneous needle fasciotomy for recurrent Dupuytren disease. J Hand Surg Am. 79(9):1820–1823CrossRef van Rijssen AL, Werker PM (2012) Percutaneous needle fasciotomy for recurrent Dupuytren disease. J Hand Surg Am. 79(9):1820–1823CrossRef
23.
go back to reference van Rijssen AL, Ter Linden H, Werker PM (2012) Five-year results of a randomized clinical trial on treatment in Dupuytren’s disease: percutaneous needle fasciotomy versus limited fasciectomy. Plast Reconstr Surg. 129:469–477CrossRef van Rijssen AL, Ter Linden H, Werker PM (2012) Five-year results of a randomized clinical trial on treatment in Dupuytren’s disease: percutaneous needle fasciotomy versus limited fasciectomy. Plast Reconstr Surg. 129:469–477CrossRef
24.
go back to reference Molenkamp S, Schouten TAM, Broekstra DC, Werker PM, Moolenburgh JD (2017) Early postoperative results of percutaneous needle fasciotomy in 451 patients with dupuytren disease. Plast Reconstr Surg 139(6):1415–1421CrossRef Molenkamp S, Schouten TAM, Broekstra DC, Werker PM, Moolenburgh JD (2017) Early postoperative results of percutaneous needle fasciotomy in 451 patients with dupuytren disease. Plast Reconstr Surg 139(6):1415–1421CrossRef
25.
go back to reference Mansha M, Flynn D, Stothard J (2017) Safety and effectiveness of percutaneous needle fasciotomy for Dupuytren’s disease in the palm. J Hand Microsurg 9(3):115–119CrossRef Mansha M, Flynn D, Stothard J (2017) Safety and effectiveness of percutaneous needle fasciotomy for Dupuytren’s disease in the palm. J Hand Microsurg 9(3):115–119CrossRef
26.
go back to reference Pess GM, Pess RM, Pess RA (2012) Results of needle aponeurotomy for Dupuytren contracture in over 1000 fingers. J Hand Surg 37(4):651–656CrossRef Pess GM, Pess RM, Pess RA (2012) Results of needle aponeurotomy for Dupuytren contracture in over 1000 fingers. J Hand Surg 37(4):651–656CrossRef
27.
go back to reference Pereira CT, Benhaim P (2016) Needle Aponeurotomy in the management of Dupuytren’s contracture: a clinical casebook. Springer, ChamCrossRef Pereira CT, Benhaim P (2016) Needle Aponeurotomy in the management of Dupuytren’s contracture: a clinical casebook. Springer, ChamCrossRef
28.
go back to reference Hueston JT (1984) Current state of treatment of Dupuytren’s disease. Ann Chir Main 3:81–92CrossRef Hueston JT (1984) Current state of treatment of Dupuytren’s disease. Ann Chir Main 3:81–92CrossRef
29.
go back to reference Becker GW, Davis TR (2010) The outcome of surgical treatments for primary Dupuytren's disease—a systematic review. J Hand Surg Eur 35(8):623–626CrossRef Becker GW, Davis TR (2010) The outcome of surgical treatments for primary Dupuytren's disease—a systematic review. J Hand Surg Eur 35(8):623–626CrossRef
30.
go back to reference Jerosch-Herold C, Shepstone L, Chojnowski AJ, Larson D, Barrett E, Vaughan SP (2011) Night-time splinting after fasciectomy or dermo-fasciectomy for Dupuytren's contracture: a pragmatic, multi-centre, randomised controlled trial. BMC Musculoskelet Disord. 12(136):1–9 Jerosch-Herold C, Shepstone L, Chojnowski AJ, Larson D, Barrett E, Vaughan SP (2011) Night-time splinting after fasciectomy or dermo-fasciectomy for Dupuytren's contracture: a pragmatic, multi-centre, randomised controlled trial. BMC Musculoskelet Disord. 12(136):1–9
31.
go back to reference Collis J, Collocott S, Hing W, Kelly E (2013) The effect of night extension orthoses following surgical release of Dupuytren contracture: a single-center, randomized, controlled trial. J Hand Surg Am. 38(7):1285–1294CrossRef Collis J, Collocott S, Hing W, Kelly E (2013) The effect of night extension orthoses following surgical release of Dupuytren contracture: a single-center, randomized, controlled trial. J Hand Surg Am. 38(7):1285–1294CrossRef
32.
go back to reference Krefter C, Marks M, Hensler S, Herren DB, Calcagni M (2017) Complications after treating Dupuytren’s disease: a systematic literature review. Hand Surg Rehabil 36(5):322–329CrossRef Krefter C, Marks M, Hensler S, Herren DB, Calcagni M (2017) Complications after treating Dupuytren’s disease: a systematic literature review. Hand Surg Rehabil 36(5):322–329CrossRef
33.
go back to reference Medjoub K, Jaward A (2014) The use of multiple needle fasciotomy in Dupuytren disease: retrospective observational study of outcome and patient satisfaction. Ann Plast Surg 72(4):417–422CrossRef Medjoub K, Jaward A (2014) The use of multiple needle fasciotomy in Dupuytren disease: retrospective observational study of outcome and patient satisfaction. Ann Plast Surg 72(4):417–422CrossRef
34.
go back to reference Maravic M, Beaudreuil J (2015) Impact on costs of switching one-ray aponeurectomy to percutaneous needle aponeurotomy in Dupuytren’s disease: a model analysis. Joint Bone Spine 82(4):264–266CrossRef Maravic M, Beaudreuil J (2015) Impact on costs of switching one-ray aponeurectomy to percutaneous needle aponeurotomy in Dupuytren’s disease: a model analysis. Joint Bone Spine 82(4):264–266CrossRef
35.
go back to reference Lo S, Pickford M (2013) Current concepts in Dupuytren’s disease. Curr Rev Musculoskelet Med 6:26–34CrossRef Lo S, Pickford M (2013) Current concepts in Dupuytren’s disease. Curr Rev Musculoskelet Med 6:26–34CrossRef
36.
go back to reference Skov ST, Bisgaard T, Sondergaard P, Lange J (2017) Injectable Collagenase versus percutaneous needle fasciotomy for Dupuytren Contracture in proximal interphalangeal joints: a randomized controlled trail. J Hand Surg Am. 42(5):321–328CrossRef Skov ST, Bisgaard T, Sondergaard P, Lange J (2017) Injectable Collagenase versus percutaneous needle fasciotomy for Dupuytren Contracture in proximal interphalangeal joints: a randomized controlled trail. J Hand Surg Am. 42(5):321–328CrossRef
37.
go back to reference Strömberg J, Ibsen Sörensen A, Friden J (2018) Percutaeous needle fasciotomy versus collagenase treatment for Dupuytren contracture: a randomized controlled trial with a two-year follow-up. J Bone Joint Surg Am 100(13):1079–1086CrossRef Strömberg J, Ibsen Sörensen A, Friden J (2018) Percutaeous needle fasciotomy versus collagenase treatment for Dupuytren contracture: a randomized controlled trial with a two-year follow-up. J Bone Joint Surg Am 100(13):1079–1086CrossRef
38.
go back to reference Diaz R, Curtin C (2014) Needle aponeurotomy for the treatment of Dupuytren’s disease. Hand Clin 30(1):33–38CrossRef Diaz R, Curtin C (2014) Needle aponeurotomy for the treatment of Dupuytren’s disease. Hand Clin 30(1):33–38CrossRef
39.
go back to reference Erne HC (2014) Downgrading severe stages of Dupuytren's contracture to simplify partial aponeurectomy using percutaneous needle fasciotomy. Plast Reconstr Surg 133(1):79e–80eCrossRef Erne HC (2014) Downgrading severe stages of Dupuytren's contracture to simplify partial aponeurectomy using percutaneous needle fasciotomy. Plast Reconstr Surg 133(1):79e–80eCrossRef
40.
go back to reference Corradino B, Di Lorenzo S, Moschella F (2013) Treatment of stages III–IV of the Dupuytren’s disease using a personal approach: percutaneous needle fasciotomy (PNF) and minimal invasive selective aponeurectomy. Acta Chir Plast 55(1):19–22PubMed Corradino B, Di Lorenzo S, Moschella F (2013) Treatment of stages III–IV of the Dupuytren’s disease using a personal approach: percutaneous needle fasciotomy (PNF) and minimal invasive selective aponeurectomy. Acta Chir Plast 55(1):19–22PubMed
Metadata
Title
Analysis of recurrence and complications after percutaneous needle fasciotomy in Dupuytren’s disease
Authors
P. Moog
L. Buchner
M. K. Cerny
D. Schmauss
K. Megerle
H. Erne
Publication date
01-10-2019
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 10/2019
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-019-03247-y

Other articles of this Issue 10/2019

Archives of Orthopaedic and Trauma Surgery 10/2019 Go to the issue