Why is a needle aponeurotomy for Dupuytren's contracture done?
Dupuytren's disease causes tissue under the skin of the palm of your hand, called the palmar fascia, to get thicker and shorter. This can pull and bend the fingers in toward the palm. Needle aponeurotomy is done to release the tight tissue in the hands and improve the use of the hands.
Needle aponeurotomy is an alternative to hand surgery, which is called fasciectomy. For this surgery, the palm is cut open and the tight tissue is removed. Compared to surgery, needle aponeurotomy:
- Is less invasive.
- Has a shorter recovery time.
- Has fewer risks.
- Costs less.
But the chance that a contracture will come back is higher and occurs sooner after needle aponeurotomy than after surgery.
This procedure may be a good option if you:
- Have a mild to moderate contracture. It may not work as well for severe contractures.
- Are an older adult or can't have open surgery because of other health problems.
- Need a quick recovery and can accept that the problem may come back.
After needle aponeurotomy for Dupuytren's contracture: When to call
Call your doctor now or seek immediate medical care if:
- You have signs of infection, such as:
- Increased pain, swelling, warmth, or redness.
- Red streaks leading from the incision.
- Pus draining from the incision.
- Swollen lymph nodes in your neck, armpits, or groin.
- A fever.
- Your hand or fingers are cool or pale or change color.
- You have tingling or numbness in your hand or fingers.
- You cannot move your fingers.
Watch closely for any changes in your health, and be sure to contact your doctor if you have any problems.
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