Rahr L, Søndergaard P, Bisgaard T, Baad-Hansen T
Department of Orthopaedic Surgery, Silkeborg Regions Hospital, Denmark.
J Hand Surg Eur Vol. 2011 Sep;36(7):548-52. doi: 10.1177/1753193411407245. Epub 2011 May 18.
This study evaluated the effect of percutaneous needle fasciotomy on primary Dupuytren's contracture in 149 patients (213 rays) admitted to our clinic in 2007. Ninety-two patients (130 rays) were followed up for 2 years to compare the change in total passive extension deficit and the passive extension deficit across the individual joint and to note side effects. No tendon rupture or damage to sensory nerves was observed and the rehabilitation period was short (mean, 0.6 days). We found a significant change (p < 0.001) in total passive extension deficit after 2 years, but the effect of the treatment was greater in Tubiana I and II stages and our best results were in correction of MCP joint contractures. Percutaneous needle fasciotomy is an alternative treatment for elderly patients with severe comorbidity or for those patients who do not want open surgery.
本研究评估了经皮针状筋膜切开术对2007年入住我院的149例（213条射线）原发性杜普伊特伦挛缩症患者的疗效。对92例患者（130条射线）进行了2年的随访，以比较总被动伸展缺损的变化以及各个关节的被动伸展缺损，并记录副作用。未观察到肌腱断裂或感觉神经损伤，康复期短（平均0.6天）。我们发现2年后总被动伸展缺损有显著变化（p < 0.001），但在图比阿纳I期和II期治疗效果更佳，我们的最佳结果是矫正掌指关节挛缩。经皮针状筋膜切开术是老年重症合并症患者或不愿接受开放手术患者的一种替代治疗方法。
