Needle aponeurotomy for dupuytren’s contracture.

  • Muhammad Arif Jinnah Postgraduate Medical Center Karachi.
  • Saeed Ahmed Shaikh Jinnah Postgraduate Medical Center Karachi.
  • Badaruddin Sahito Dow University of Health Sciences Civil Hospital Karachi.
  • Nadeem Ahmed Jinnah Postgraduate Medical Center Karachi.
  • Muhamamd Qasim Jinnah Postgraduate Medical Center Karachi.
  • Allah Rakhio Jamali Jinnah Postgraduate Medical Center Karachi.
Keywords: Duputren’s Contracture, Needle Aponeurectomy, Recurrence

Abstract

Needle Aponeurotomy is a negligibly obtrusive method where the cords are debilitated through the manipulation & insertion of a small needle. To determine the frequency of recurrence of flexion contracture after correction by percutaneous needle Aponeurotomy. Study Design: Prospective longitudinal study. Setting: Department of Orthopedics, Jinnah Postgraduate Medical Centre, Karachi. Period: March 2017 to February 2018. Materials and Methods: 65 patients were collected for this study with dupuytren’s contracture from stage I-III belonging to either sex of age 18-50 years presented in outpatient department. Results: Total 65 patients were included in the study. Mean flexion contracture was 35.840 with the standard deviation of 13.070. Most of the patients 44(67.7%) had flexion contracture of >300 while 21(32.3%) patients had flexion contracture of ≤300. Majority of the patients had stage 1 of Dupuytren’s contracture, i.e. 26(40%), 25(38.5%) patients were of stage 2 contracture. Least number of patients i.e. 14 (21.5%) had stage 3 Dupuytren’s contracture. Recurrence of contracture was observed in 46(70.8%) of patients, while 19(29.2%) patients had no recurrence of contracture. Conclusion: The frequency of recurrence of flexion contracture found significant after correction with percutaneous needle aponeurotomy, so should be carried in selective patients with counseling’s that it will recur. But acute correction can be made at metacarpophalangeal and proximal interphalangeal joint with needle aponeurectomy.

 

Author Biographies

Muhammad Arif, Jinnah Postgraduate Medical Center Karachi.

MBBS, FCPS

Registrar

Department of Orthopaedic Surgery

 

Saeed Ahmed Shaikh, Jinnah Postgraduate Medical Center Karachi.

MBBS, FCPS

Assistant Professor

Department of Orthopaedic Surgery

 

Badaruddin Sahito, Dow University of Health Sciences Civil Hospital Karachi.

MBBS, FCPS

Assistant Professor

Department of Orthopaedic Surgery

 

Nadeem Ahmed, Jinnah Postgraduate Medical Center Karachi.

MBBS, FCPS

Assistant Professor

Department of Orthopaedic Surgery

 

Muhamamd Qasim, Jinnah Postgraduate Medical Center Karachi.

MBBS, FCPS

Registrar

Department of Orthopaedic Surgery

 

Allah Rakhio Jamali, Jinnah Postgraduate Medical Center Karachi.

MBBS, FCPS

Professor

Department of Orthopaedic Surgery

 

Published
2019-08-10