Multi-needle aponeurotomy for advanced Dupuytren’s disease: a 16-month follow-up study (MNA 2 Study)

Beaudreuil, J.; Lermusiaux, Jean-Luc; Teyssedou, Jean-Pierre

doi:10.1177/1753193412439170

Cited by 8 publications

(20 citation statements)

References 2 publications

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“…The long-term functional outcome was similar. The most common complication of PNA is skin tears, which may occur in 4–16% of cases (Beaudreuil et al., 2012; Chen et al., 2011). We observed a 6% incidence of skin tears with the USGA technique.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors inject corticosteroids after PNA, and others use adipose lipofilling. A drawback of PNA is that the surgeon does not directly visualize the structures (Beaudreuil et al., 2012; Chen et al., 2011; Hovius et al., 2015; van Rijssen et al., 2012). The cord must be palpable before techniques that are not under direct vision can be used.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound-guided aponeurotomy and interphalangeal joint capsular release for treatment of Dupuytren’s disease

Villanueva¹,

Iborra²,

Fahandezh-Saddi³

et al. 2022

J Hand Surg Eur Vol

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This study describes a new ultrasound-guided surgical technique for aponeurotomy and interphalangeal joint capsular release in patients with Dupuytren’s disease and analyses the clinical outcomes. We carried out a retrospective review of 70 digits in 35 patients who underwent ultrasound-guided aponeurotomy and interphalangeal joint capsular release, with a minimum follow-up of 2 years. The primary outcome was the correction of the deformity and the QuickDASH questionnaire score after surgery and at 1 and 2 years. The secondary outcome was the presence of residual contracture immediately after surgery. The mean QuickDASH score fell from 28 before surgery to 14 after surgery. A significant decrease of −63° was observed for the global contracture, −35° the metacarpophalangeal joint contracture and −28° for the proximal interphalangeal joint contracture. Ultrasound-guided aponeurotomy and interphalangeal joint capsular and palmar plate releases are highly accurate and safe. Level of evidence: IV

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided aponeurotomy and interphalangeal joint capsular release for treatment of Dupuytren’s disease

Villanueva¹,

Iborra²,

Fahandezh-Saddi³

et al. 2022

J Hand Surg Eur Vol

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“…Needle tenotomies have been carried out in children with congenital talipes equinovarus with no reports of complications [ 14 – 17 ]. Similarly, the technique has been used to free Dupuytren’s contractures with few unwanted effects (cutaneous fissures in 8–16%, infection in 0.7–2% and rupture of a deeper tendon in 0.05–0.2%) [ 28 , 29 ]. Needle tenotomies have also been carried out under ultrasound guidance for chronic tennis elbow and trigger finger with no reports of complications [ 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and Complications of Percutaneous Needle Tenotomy with a Large Needle for Muscle Contractures: A Cadaver Study

et al. 2015

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BackgroundTwenty-two percent of institutionalised elderly persons have muscle contractures. Contractures have important functional consequences, rendering hygiene and positioning in bed or in a chair difficult. Medical treatment (such as botulinum toxin injections, physiotherapy or positioning) is not very effective and surgery may be required. Surgery is carried out in the operating theatre, under local or general anaesthesia but is often not possible in fragile patients. Mini-invasive tenotomy could be a useful alternative as it can be carried out in ambulatory care, under local anaesthesia.ObjectiveTo evaluate the effectiveness of percutaneous needle tenotomy and the risks of damage to adjacent structures in cadavers.MethodThirty two doctors who had never practiced the technique (physical medicine and rehabilitation specialists, geriatricians and orthopaedic surgeons) carried out 401 tenotomies on the upper and lower limbs of 8 fresh cadavers. A 16G needle was used percutaneous following location of the tendons. After each tenotomy, a neuro-orthopaedic surgeon and an anatomist dissected the area in order to evaluate the success of the tenotomy and any adjacent lesions which had occurred.ResultsOf the 401 tenotomies, 72% were complete, 24.9% partial and 2.7% failed. Eight adjacent lesions occurred (2%): 4 (1%) in tendons or muscles, 3 (0.7%) in nerves and 1 (0.2%) in a vessel.ConclusionThis percutaneous needle technique effectively ruptured the desired tendons, with few injuries to adjacent structures. Although this study was carried out on cadavers, the results suggest it is safe to carry out on patients.

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“…L'aponévrotomie percutanée à l'aiguille en tant que traitement en un temps -huit aponévrotomies en moyenne -des formes avancées de maladie de Dupuytren a été spécifiquement évaluée à six et à 16 mois [15,22]. Son taux de complication n'apparaissait pas supérieur à celui de l'aponévrotomie percutanée à l'aiguille réalisée à raison d'une à trois sections par séance.…”

Section: Pronosticunclassified

“…Une nette réduc-tion du flexum était observée et persistait six mois, dernier temps d'évaluation [15]. L'incapacité suivait la même évolution et 95 % des patients étaient satisfaits à six mois et à 16 mois [22].…”

Section: Pronosticunclassified

La maladie de Dupuytren en 2012

Beaudreuil

2012

Revue du Rhumatisme Monographies

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Multi-needle aponeurotomy for advanced Dupuytren’s disease: a 16-month follow-up study (MNA 2 Study)

Cited by 8 publications

References 2 publications

Ultrasound-guided aponeurotomy and interphalangeal joint capsular release for treatment of Dupuytren’s disease

Ultrasound-guided aponeurotomy and interphalangeal joint capsular release for treatment of Dupuytren’s disease

Effectiveness and Complications of Percutaneous Needle Tenotomy with a Large Needle for Muscle Contractures: A Cadaver Study

La maladie de Dupuytren en 2012

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