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

Research output: Contribution to journalArticleAcademicpeer-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 languageUndefined/Unknown
Pages (from-to)822E-829E
JournalPlastic and Reconstructive Surgery
Volume134
Issue number5
DOIs
Publication statusPublished - 2014

Cite this