Sakellariou Vasileios I, Brault Jeffrey, Rizzo Marco
Orthopedics. 2015 May;38(5):299-303. doi: 10.3928/01477447-20150504-03.
Although percutaneous needle fasciotomy for Dupuytren's contracture is a simple, inexpensive procedure, it is a blind procedure with risks including injury to nerves, arteries, and tendons. The authors describe a novel technique using ultrasound as an adjunct to percutaneous fasciotomy for Dupuytren's contracture. Generally, patients have no postoperative restrictions other than to avoid submerging their hands for 48 hours. To date, the authors have noted, in 66 cases, no permanent complete nerve dysfunction following needle aponeurotomy using ultrasound assistance. Recurrence of the disease is the most common complication, occurring at a higher rate than with open procedures. Ultrasound mapping of the digital neurovascular structures can be successfully used as an adjunct to help prevent these neurovascular complications.
尽管经皮针式筋膜切开术治疗杜普伊特伦挛缩是一种简单、廉价的手术，但它是一种盲视手术，存在包括损伤神经、动脉和肌腱在内的风险。作者描述了一种新技术，即使用超声辅助经皮筋膜切开术治疗杜普伊特伦挛缩。一般来说，患者术后除了48小时内避免双手浸水外没有其他限制。迄今为止，作者注意到，在66例病例中，使用超声辅助进行针式腱膜切开术后没有出现永久性完全神经功能障碍。疾病复发是最常见的并发症，其发生率高于开放性手术。数字神经血管结构的超声成像可以成功地用作辅助手段，以帮助预防这些神经血管并发症。
