IS THERE ANY PLACE LEFT FOR SURGERY
IN THE TREATMENT OF DUPUYTREN'S CONTRACTURE ?
We believe, as do a few hand surgeons, that needle aponeurotomy is indeed the most suitable first-line procedure for stages I to III of Dupuytren's disease.
In case of the unlikely failure of this technique, surgical procedure is still available.
Sectioning digital bands is not a contraindication for a skilled physician having a good knowlegde of hand anatomy.
However, it is advisable to entrust a surgeon with the task of treating post-sympathetic dystrophy forms, very progressive forms, wide bands with adherent overlying skin and contractured scars.
In conclusion, we are convinced that only 10 to 15% of Dupuytren's diseases should be treated surgically, whereas most of the contractured digits can be extended within two or three needle aponeurotomy sessions.
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