Minimally Invasive Options in Dupuytren's Contracture: Aponeurotomy, Enzymes, Stretching, and Fat Grafting

A Murphy; DH Lalonde; C Eaton; K Denkler; Steven Hovius; AA Smith; A Martin; A Biswas; Christianne van Nieuwenhoven

doi:10.1097/PRS.0000000000000603

Minimally Invasive Options in Dupuytren's Contracture: Aponeurotomy, Enzymes, Stretching, and Fat Grafting

A Murphy, DH Lalonde, C Eaton, K Denkler, Steven Hovius, AA Smith, A Martin, A Biswas, Christianne van Nieuwenhoven

Plastic and Reconstructive Surgery and Hand Surgery

Research output: Contribution to journal › Article › Academic › peer-review

13 Citations (Scopus)

Abstract

Learning Objectives: After studying this article, the participant should be able to: (1) Perform needle aponeurotomy, fat grafting, Digit Widget insertion, and collagenase injection for Dupuytren's cords. (2) Describe how cords can be stretched without surgery. (3) Explain to patients the risks and benefits of these new alternatives of treatments. Summary: Surgery for Dupuytren's contracture used to be the only alternative of treatment. The past 5 years have seen the widespread adoption of minimally invasive treatments in the form of needle aponeurotomy and collagenase injection to disrupt the cords and restore range of motion. Even newer and perhaps as effective treatments such as fat grafting and mechanical stretching with the Digit Widget may also end up being important tools of treatment. The reader will be introduced to all of these modalities with text, illustration, and videos.

Original language	Undefined/Unknown
Pages (from-to)	822E-829E
Journal	Plastic and Reconstructive Surgery
Volume	134
Issue number	5
DOIs	https://doi.org/10.1097/PRS.0000000000000603
Publication status	Published - 2014

Access to Document

10.1097/PRS.0000000000000603

Cite this

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title = "Minimally Invasive Options in Dupuytren's Contracture: Aponeurotomy, Enzymes, Stretching, and Fat Grafting",

abstract = "Learning Objectives: After studying this article, the participant should be able to: (1) Perform needle aponeurotomy, fat grafting, Digit Widget insertion, and collagenase injection for Dupuytren's cords. (2) Describe how cords can be stretched without surgery. (3) Explain to patients the risks and benefits of these new alternatives of treatments. Summary: Surgery for Dupuytren's contracture used to be the only alternative of treatment. The past 5 years have seen the widespread adoption of minimally invasive treatments in the form of needle aponeurotomy and collagenase injection to disrupt the cords and restore range of motion. Even newer and perhaps as effective treatments such as fat grafting and mechanical stretching with the Digit Widget may also end up being important tools of treatment. The reader will be introduced to all of these modalities with text, illustration, and videos.",

author = "A Murphy and DH Lalonde and C Eaton and K Denkler and Steven Hovius and AA Smith and A Martin and A Biswas and {van Nieuwenhoven}, Christianne",

year = "2014",

doi = "10.1097/PRS.0000000000000603",

language = "Undefined/Unknown",

volume = "134",

pages = "822E--829E",

journal = "Plastic and Reconstructive Surgery",

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Minimally Invasive Options in Dupuytren's Contracture: Aponeurotomy, Enzymes, Stretching, and Fat Grafting. / Murphy, A; Lalonde, DH; Eaton, C; Denkler, K; Hovius, Steven; Smith, AA; Martin, A; Biswas, A; van Nieuwenhoven, Christianne.

In: Plastic and Reconstructive Surgery, Vol. 134, No. 5, 2014, p. 822E-829E.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Minimally Invasive Options in Dupuytren's Contracture: Aponeurotomy, Enzymes, Stretching, and Fat Grafting

AU - Murphy, A

AU - Lalonde, DH

AU - Eaton, C

AU - Denkler, K

AU - Hovius, Steven

AU - Smith, AA

AU - Martin, A

AU - Biswas, A

AU - van Nieuwenhoven, Christianne

PY - 2014

Y1 - 2014

N2 - Learning Objectives: After studying this article, the participant should be able to: (1) Perform needle aponeurotomy, fat grafting, Digit Widget insertion, and collagenase injection for Dupuytren's cords. (2) Describe how cords can be stretched without surgery. (3) Explain to patients the risks and benefits of these new alternatives of treatments. Summary: Surgery for Dupuytren's contracture used to be the only alternative of treatment. The past 5 years have seen the widespread adoption of minimally invasive treatments in the form of needle aponeurotomy and collagenase injection to disrupt the cords and restore range of motion. Even newer and perhaps as effective treatments such as fat grafting and mechanical stretching with the Digit Widget may also end up being important tools of treatment. The reader will be introduced to all of these modalities with text, illustration, and videos.

AB - Learning Objectives: After studying this article, the participant should be able to: (1) Perform needle aponeurotomy, fat grafting, Digit Widget insertion, and collagenase injection for Dupuytren's cords. (2) Describe how cords can be stretched without surgery. (3) Explain to patients the risks and benefits of these new alternatives of treatments. Summary: Surgery for Dupuytren's contracture used to be the only alternative of treatment. The past 5 years have seen the widespread adoption of minimally invasive treatments in the form of needle aponeurotomy and collagenase injection to disrupt the cords and restore range of motion. Even newer and perhaps as effective treatments such as fat grafting and mechanical stretching with the Digit Widget may also end up being important tools of treatment. The reader will be introduced to all of these modalities with text, illustration, and videos.

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DO - 10.1097/PRS.0000000000000603

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JO - Plastic and Reconstructive Surgery

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SN - 0032-1052

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