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

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.