Advances in Minimally Invasive Treatment of Dupuytren Disease

Abstract

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.

Keywords: Dermofasciectomy; Dupuytren disease; Fasciectomy; Fat grafting; Lipofilling; Minimally invasive; Needle aponeurotomy; Needle fasciotomy.