TY - JOUR
T1 - Dupuytren’s disease
T2 - using needles more across the world
AU - Warwick, David
AU - NM Werker, Paul
AU - Pess, Gary
AU - Hirata, Hitoshi
AU - Hunter-Smith, David J.
N1 - Publisher Copyright:
© The Author(s) 2021.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2022/1
Y1 - 2022/1
N2 - In this article we take an international perspective on the use of needles, either percutaneous needle fasciotomy (PNF) or Clostridial Collagenase Histiolyticum (CCH), in treating Dupuytren’s Disease (DD). Worldwide, PNF is now used more frequently. The CCH has been withdrawn from non-USA markets, which lessens its use. Different patients have different preferences, while different surgeons have different skills and opinions. The surgeon should fully consider the patient’s preference and should also, in view of the scarcity of surgical resource and the potential hazard of surgery, reconsider and expand the use of a needle rather than an operation. In the future, a cheaper, yet equally safe and effective alternative to CCH, will provide a useful clinical tool for those cords, which, in the surgeon’s personal Venn diagram, are too challenging for PNF, but the patient does not want to have surgery.
AB - In this article we take an international perspective on the use of needles, either percutaneous needle fasciotomy (PNF) or Clostridial Collagenase Histiolyticum (CCH), in treating Dupuytren’s Disease (DD). Worldwide, PNF is now used more frequently. The CCH has been withdrawn from non-USA markets, which lessens its use. Different patients have different preferences, while different surgeons have different skills and opinions. The surgeon should fully consider the patient’s preference and should also, in view of the scarcity of surgical resource and the potential hazard of surgery, reconsider and expand the use of a needle rather than an operation. In the future, a cheaper, yet equally safe and effective alternative to CCH, will provide a useful clinical tool for those cords, which, in the surgeon’s personal Venn diagram, are too challenging for PNF, but the patient does not want to have surgery.
KW - decision-making
KW - Dupuytren’s disease
KW - percutaneous needle fasciotomy
KW - surgical release
UR - http://www.scopus.com/inward/record.url?scp=85114687395&partnerID=8YFLogxK
U2 - 10.1177/17531934211043307
DO - 10.1177/17531934211043307
M3 - Review Article
C2 - 34496664
AN - SCOPUS:85114687395
SN - 1753-1934
VL - 47
SP - 80
EP - 88
JO - Journal of Hand Surgery (European Volume)
JF - Journal of Hand Surgery (European Volume)
IS - 1
ER -