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Perkutane Nadelaponeurotomie bei Dupuytren-Kontraktur

Percutaneous needle aponeurotomy for Dupuytren’s contracture

Zusammenfassung

Die Dupuytren-Kontraktur ist eine gutartige, fibroproliferative Erkrankung der Hohlhandaponeurose, die teilweise mit erheblichen funktionellen Einschränkungen für die Betroffenen einhergeht. Die limitierte Aponeurektomie ist als Primäreingriff der Referenzstandard. Aufgrund der Minimalinvasivität, der kürzeren Rekonvaleszenz und der niedrigen Komplikationsraten gewinnt die perkutane Nadelaponeurotomie in den letzten Jahren unter Berücksichtigung der spezifischen Indikationen zunehmend an Bedeutung.

Die Nadelaponeurotomie kann ambulant durchgeführt werden, ist kosteneffektiv und mit einem niedrigen Komplikationsrisiko verbunden. Die Rezidivrate ist im Vergleich zur limitierten Aponeurektomie höher. Unter Beachtung bestimmter Indikationen stellt sie eine Alternative dar.

Abstract

Dupuytren disease is a benign fibroproliferative disease of the palmar aponeurosis, which can cause considerable functional deficiencies for the person concerned. Partial aponeurectomy is the gold standard in primary surgery. Because it is minimally invasive and has short recovery and low complication rates, the importance of needle aponeurotomy under specific indications has been increasing in the last years. Needle aponeurotomy is a cost-effective treatment with low complication rates. The revision rate compared to partial aponeurectomy is higher. Under consideration of specified indications, needle aponeurotomy is an alternative treatment option.

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Correspondence to C. K. Spies.

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Interessenkonflikt

J. Oppermann, F. Unglaub, L. P. Müller, S. Löw, P. Hahn und C. K. Spies geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Oppermann, J., Unglaub, F., Müller, L.P. et al. Perkutane Nadelaponeurotomie bei Dupuytren-Kontraktur. Orthopäde 46, 315–320 (2017). https://doi.org/10.1007/s00132-017-3388-4

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  • DOI: https://doi.org/10.1007/s00132-017-3388-4

Schlüsselwörter

  • Faszie
  • Gesundheitskosten
  • Hand
  • Orthopädisch-chirurgisches Verfahren
  • Palmarfibromatose

Keywords

  • Fascia
  • Healthcare costs
  • Hand
  • Orthopedic surgical procedures
  • Fibromatosis, palmar