Retrospective review of 474 patients (1,013 fingers) undergoing needle aponeurotomy (NA) for Dupuytren contracture with ≥20° MP or PIP flexion deformity, examining immediate correction, durability at minimum 3-year follow-up, and complications.
NA is an effective outpatient option for Dupuytren contracture when a palpable cord is present — counsel patients that MP contractures respond durably (72% correction at 3 years) but PIP contractures recur in the majority, and younger patients should be specifically warned that recurrence is the rule rather than the exception.
Retrospective review of 474 patients (1,013 fingers) undergoing needle aponeurotomy (NA) for Dupuytren contracture with ≥20° MP or PIP flexion deformity, examining immediate correction, durability at minimum 3-year follow-up, and complications.
NA is an effective outpatient option for Dupuytren contracture when a palpable cord is present — counsel patients that MP contractures respond durably (72% correction at 3 years) but PIP contractures recur in the majority, and younger patients should be specifically warned that recurrence is the rule rather than the exception.