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Early Functional Outcome of Percutaneous Needle Aponeurotomy for the Treatment of Dupuytren’s Contracture | ||
| Basrah Journal of Surgery | ||
| Article 5, Volume 32, Issue 1, 2026, Pages 39-50 PDF (1.12 M) | ||
| Document Type: Research Paper | ||
| DOI: 10.33762/basjsurg.2026.167624.1153 | ||
| Authors | ||
| A’laa Mohammed Albaghdadi* 1; Alaa A. Dawood2 | ||
| 1Basrah orthopedic center | ||
| 2Professor of Orthopedic Surgery, Alkunoozu University, Email: [email protected] | ||
| Abstract | ||
| Abstract Background: Dupuytren’s contracture is a progressive fibroproliferative disorder of the palmar fascia, leading to fixed flexion deformities and impaired hand function. Percutaneous needle aponeurotomy (PNA) is a minimally invasive technique offering rapid recovery and functional improvement. This study aimed to evaluate the early functional outcomes of PNA in patients with Dupuytren’s contracture. Methods: A prospective cohort study was conducted at Basrah Teaching Hospital between December 2023 and September 2024. Twenty-five patients with clinically evident Dupuytren’s contracture and a palpable cord underwent PNA under local anesthesia. Total passive extension deficit (TPED) and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were assessed preoperatively and at six weeks postoperatively. Disease severity was classified using the Tubiana grading system. Results: The cohort included 19 males (76%) and 6 females (24%), with a mean age of 62 ± 12.5 years for males and 57 ± 11.7 years for females. The ring finger was most frequently affected (85%), and MCP joints were involved in 44.2% of cases. PNA achieved substantial correction across all Tubiana stages, with mean TPED improvement exceeding 92% (p = 0.641). DASH scores improved significantly in all stages, with the greatest functional gain in stage IV (mean reduction 44.55 points, p = 0.003). Complications occurred in 3 patients (12%), including skin sloughing, infection, and chronic pain. Conclusion: PNA is an effective and safe intervention for Dupuytren’s contracture, providing rapid deformity correction, significant functional improvement, and minimal complications. It represents a valuable treatment option, particularly for patients unsuitable for extensive surgery or general anesthesia | ||
| Keywords | ||
| Dupuytren’s contracture; percutaneous needle aponeurotomy; functional outcome; minimally invasive; DASH score | ||
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