Publication year
2018Source
Hand Clinics, 34, 3, (2018), pp. 417-426ISSN
Publication type
Article / Letter to editor
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Organization
Plastic Surgery
Journal title
Hand Clinics
Volume
vol. 34
Issue
iss. 3
Page start
p. 417
Page end
p. 426
Subject
Radboudumc 10: Reconstructive and regenerative medicine RIHS: Radboud Institute for Health Sciences; Plastic Surgery - Radboud University Medical CenterAbstract
A comparison is provided between minimally invasive techniques and limited fasciectomy (LF) in the treatment of Dupuytren disease. A technique called percutaneous needle aponeurotomy and lipofilling is described. In a randomized controlled trial, there is no significant difference between this technique and LF after 1 year in contracture correction and recurrent contractures. At 5 years postoperative, however, there is a significant change in recurrence rates in favor of LF. Patients with moderate diathesis should choose between minimally invasive technique with early recurrence, fast recovery, and few complications versus late recurrence, slower recovery, and more complications, as observed with LF or dermofasciectomy.
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- Academic publications [245104]
- Faculty of Medical Sciences [93207]
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