用于掌腱膜挛缩症的针刀腱膜切开术

Needle Aponeurotomy for Dupuytren Disease.

作者信息

Elzinga Kate E, Morhart Michael J

机构信息

Section of Plastic Surgery, University of Calgary, 4448 Front Street Southeast, Calgary, Alberta T3M 1M4, Canada.

Division of Plastic Surgery, University of Alberta, 14310 111 Avenue Northwest, Edmonton, Alberta T5M 3Z7, Canada.

出版信息

Hand Clin. 2018 Aug;34(3):331-344. doi: 10.1016/j.hcl.2018.03.003.

DOI:10.1016/j.hcl.2018.03.003

PMID:30012293

Abstract

Needle aponeurotomy is an effective, minimally invasive treatment for metacarpophalangeal and interphalangeal joint contractures caused by Dupuytren disease. Multiple joints and digits can be safely treated in 1 session. Needle aponeurotomy is more cost-effective and has a significantly lower complication rate compared with open fasciectomy and collagenase injections. Recurrence rates are higher compared with open fasciectomy and collagenase injections. Patient satisfaction rates are high following needle aponeurotomy; the single clinic visit required and the minimal downtime after treatment are advantages unique to this procedure compared with other treatment modalities, including open fasciectomy, dermatofasciectomy, collagenase injections, and lipofilling.

摘要

针刀腱膜切开术是治疗由杜普伊特伦挛缩症引起的掌指关节和指间关节挛缩的一种有效、微创的治疗方法。一次手术可安全地治疗多个关节和手指。与开放性筋膜切除术和胶原酶注射相比，针刀腱膜切开术更具成本效益，并发症发生率显著更低。与开放性筋膜切除术和胶原酶注射相比，复发率更高。针刀腱膜切开术后患者满意度较高；与其他治疗方式（包括开放性筋膜切除术、皮肤筋膜切除术、胶原酶注射和脂肪填充）相比，该手术只需门诊就诊一次且治疗后停机时间最短，这是其独特的优势。