Needle Aponeurotomy vs Fasciectomy for Dupuytren's Contracture

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Uploaded by on Sep 27, 2009

Side by side comparison of procedures performed by Dr. Charles Eaton for of severe ring finger Dupuytren's contracture. The fasciectomy took over two hours under general anesthesia and months of recovery; the needle release was an office procedure under local anesthesia and took one week of limited hand use.

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  • @ctakerian General recovery time is a few days. Keep excercising it after surgery opening and closing your hand. Try to keep up normal activity. That will exercise your hand enough. I would do the needle. That is what I had on both hands.

    First operation was 2 years ago. No therapy, no pain. Hand is perfect.

  • @bryan3550 No Brian, they go away. Give it a month. They disappear slowly.

    The Needle

    Aponeurotomy is the easiest one with no complications and almost no down time.

  • I had my hand done mid november 2011. Two weeks later, I am fine. They did the needle one on me. The surgical removal is scary and takes 6 months of therapy.

    This is the second hand I had done. I am good now.

    If you need it, get it done. It only gets worse. It is inherited from northern Europe genealogy

    My heritage goes back to Northern England. Never did take pain medication, not even an aspirin. Did not need anything.

  • Dr. Eaton in Jupiter, Fl. did my hands and they were pretty severe. I could go back to work after 2 days with no problem. The nodules (lumps) are absorbed by the body. My palms are smooth now. I would reccomend having an evaluation done when you can no longer lay your palms flat on a table surface, regardless of age. The thinking used to be for you to wait as long a possible before having anything done but that has changed.

  • What is the general recovery time for each of these different types of procedures?

    And if you had a young man (24) which treatment would be recommended?

  • What happens to the tissue "lumps" removed in the Fasciectomy in the case of the Needle Aponeurotomy? Do they remain in the hand?

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