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Resultados a tres años de seguimiento de Fasciotomía percutánea con aguja en enfermedad de Dupuytren / Results after three years of follow-up of percutaneous fasciotomy with needle in Dupuytren's disease
Wilson Bravo, César; Pizarro Amigo, Felipe; Jara Barril, Hernán; Pareschi Pasten, Stefano.
  • Wilson Bravo, César; Hospital Regional de Talca. Traumatología. CL
  • Pizarro Amigo, Felipe; Universidad Católica del Maule. Facultad de Medicina. CL
  • Jara Barril, Hernán; Universidad Católica del Maule. Facultad de Medicina. CL
  • Pareschi Pasten, Stefano; Hospital de Talca. Traumatología. CL
Rev. méd. Maule ; 33(2): 25-30, sept. 2018. ilus, graf
Article in Spanish | LILACS | ID: biblio-1292509
ABSTRACT
Dupuytren's disease is the abnormal and progressive proliferation of the palmar fascia, its etiology remains unknown. Percutaneous needle fasciotomy is a minimally invasive procedure, where hypodermic needles are used as a scalpel blade to break the pathological cord in Dupuytren's disease.

OBJECTIVE:

To evaluate the results of percutaneous needle fasciotomy in patients with 3-year follow-up

METHODS:

Percutaneous needle fasciotomy was performed in patients from the regional hospital of Talca from January 2014 to January 2017, pre and post-procedure contracture measurement was performed, followed up at 6 weeks, 3 months and annually up to three years. there was a registry of complications, recurrence and functional results with the QuickDASH scale.

RESULTS:

Of the 17 patients chosen, 13 completed the follow-up. 15 fingers (5 little fingers, 9 ring fingers, 1 middle) and 23 joints. The metacarpophalangeal joints achieved an immediate correction of 89%, maintaining a correction of 48% at three years. The proximal interphalangeal joint achieved a correction of 62%, maintaining 32% at the end of the follow-up. The QuickDash managed to descend from 39.4 to 21.5 points. There was recurrence of 35.7% in the metacarpophalangeal joints and 42.8% in proximal interphalangeal joints. We found that percutaneous fasciotomy is a treatment option.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Dupuytren Contracture / Fasciotomy / Needles Limits: Female / Humans / Male Language: Spanish Journal: Rev. méd. Maule Journal subject: Medicine Year: 2018 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital Regional de Talca/CL / Hospital de Talca/CL / Universidad Católica del Maule/CL

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Full text: Available Index: LILACS (Americas) Main subject: Dupuytren Contracture / Fasciotomy / Needles Limits: Female / Humans / Male Language: Spanish Journal: Rev. méd. Maule Journal subject: Medicine Year: 2018 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital Regional de Talca/CL / Hospital de Talca/CL / Universidad Católica del Maule/CL