Treatment: Percutaneous Needle Fasciotomy
Percutaneous needle fasciotomy is a non-invasive procedure that aims to weaken the affected cords in Dupuytren’s contracture through the repeated insertion of a small needle. By stretching the finger and palm, the doctor is able to snap the cord and improve hand function. This treatment option offers several advantages over surgery, as it allows the physician to address multiple areas and fingers simultaneously, without the associated risks.
One of the key benefits of percutaneous needle fasciotomy is the quick recovery time. Unlike traditional surgery, patients can regain the use of their hands within 24 hours of the procedure, eliminating the need for extensive physical therapy or the use of splints. However, it is important to note that this method may have a higher recurrence rate compared to other treatment options. Nevertheless, it can be repeated as needed to maintain hand function.
Although percutaneous needle fasciotomy is generally safe, caution must be exercised during the needle insertion process. There is a small risk of damaging a nerve or tendon, so careful selection of insertion points is crucial. By considering the potential risks and benefits, individuals with Dupuytren’s contracture can make an informed decision about whether percutaneous needle fasciotomy is the right treatment option for them.
Treatment: Collagenase
Collagenase is a recently introduced enzyme that is being used by doctors to treat Dupuytren’s contracture. This condition is characterized by the presence of hardened cords that restrict the movement of the fingers. By injecting collagenase into the affected palm or joint, the physician is able to dissolve and weaken these cords. After the injection, the patient is instructed to wear gauze and keep the hand elevated for the next 24 hours. This allows the collagenase to effectively break down the tightened cord. Once the 24-hour period has passed, the doctor flexes the hand in order to snap the now damaged cord. To aid in the recovery process, the patient is required to use a splint at night and undergo daily physical therapy for a period of up to four months.