Surgical treatment of Dupuytren's disease includes radical fasciectomy, limited fasciectomy, percutaneous needle aponeurotomy (PNA), and treatment with collagenase injections. The most commonly performed procedure is limited fasciectomy. However, techniques such as PNA and collagenase injections are being performed with higher frequency because they are minimally invasive. PNA is generally recommended for older patients with less severe contractures who desire a faster recovery with a low complication rate. Patients undergoing PNA should be informed that recurrence rates appear to be higher with PNA in comparison with limited fasciectomy.
View details for DOI 10.1016/j.hcl.2013.09.005
View details for PubMedID 24286740