TY - JOUR
T1 - Needle Aponeurotomy Versus Collagenase Injections for Dupuytren Disease
T2 - A Review of the Literature and Survey of Patient-Reported Satisfaction, Recurrence, and Complications After Needle Aponeurotomy
AU - Buckwalter V, Joseph A.
AU - Kitchin, Spencer
AU - Goldfarb, Charles A.
AU - Boyer, Martin I.
N1 - Publisher Copyright:
© 2019 The Authors
PY - 2019/4
Y1 - 2019/4
N2 - Needle aponeurotomy (NA)and collagenase injections (CI)for treatment of Dupuytren disease are practical and clinically efficient techniques. The purpose of this report is to review the comparative literature and present postprocedure survey data on NA. We reviewed the current literature on treatment of Dupuytren disease with NA and report on direct and indirect comparisons of the 2 treatment options. We also retrospectively identified patients treated with NA for Dupuytren disease, reviewed the demographic details of treatment in the medical records, and solicited patients’ feedback on satisfaction, recurrence, and complications using a phone survey. The results of the survey are discussed in the context of current literature. A total of 250 completed the survey an average of 34 months after treatment. Of those, 178 (71%)were very satisfied or satisfied, 187 (75%)reported some recurrence, and 5% reported a complication. Patients less than 2 years from the procedure were statistically significantly more likely to be satisfied with the procedure and more likely to have it again, and reported less recurrence of disease. Current literature does not clearly suggest a best treatment option for Dupuytren disease. Recent analyses suggest that there is a cost difference, with NA presenting as a more cost-effective option. Survey results demonstrated a low complication rate although the rate of recurrence was high, which was consistent with other studies. Needle aponeurotomy is safe and effective, and results in high patient satisfaction despite a high recurrence rate.
AB - Needle aponeurotomy (NA)and collagenase injections (CI)for treatment of Dupuytren disease are practical and clinically efficient techniques. The purpose of this report is to review the comparative literature and present postprocedure survey data on NA. We reviewed the current literature on treatment of Dupuytren disease with NA and report on direct and indirect comparisons of the 2 treatment options. We also retrospectively identified patients treated with NA for Dupuytren disease, reviewed the demographic details of treatment in the medical records, and solicited patients’ feedback on satisfaction, recurrence, and complications using a phone survey. The results of the survey are discussed in the context of current literature. A total of 250 completed the survey an average of 34 months after treatment. Of those, 178 (71%)were very satisfied or satisfied, 187 (75%)reported some recurrence, and 5% reported a complication. Patients less than 2 years from the procedure were statistically significantly more likely to be satisfied with the procedure and more likely to have it again, and reported less recurrence of disease. Current literature does not clearly suggest a best treatment option for Dupuytren disease. Recent analyses suggest that there is a cost difference, with NA presenting as a more cost-effective option. Survey results demonstrated a low complication rate although the rate of recurrence was high, which was consistent with other studies. Needle aponeurotomy is safe and effective, and results in high patient satisfaction despite a high recurrence rate.
KW - Dupuytren disease
KW - complications
KW - hand surgery
KW - needle aponeurotomy
KW - patient-reported satisfaction
KW - recurrence
UR - http://www.scopus.com/inward/record.url?scp=85065253157&partnerID=8YFLogxK
U2 - 10.1016/j.jhsg.2019.01.005
DO - 10.1016/j.jhsg.2019.01.005
M3 - Review article
AN - SCOPUS:85065253157
SN - 2589-5141
VL - 1
SP - 91
EP - 95
JO - Journal of Hand Surgery Global Online
JF - Journal of Hand Surgery Global Online
IS - 2
ER -