DUPUYTREN'S DISEASE.
RESULTS OF A STUDY MANAGED IN 1995.
992 hands treated by needle fasciotomy.
MATERIALS:
799 Patients
992 Hands
1557 Sessions
3736 Aponevrotomies
ADVERSE EVENTS / ACCIDENTS :
Cracks/ breaks of the skin....... : 75
Minor nerve injuries................. : 29
Chronic pains............................ : 12
Minor infections........................ : 7
Faintness................................... : 6
Inflammatory reactions ........... : 4
Hematomas............................... : 3
Flexor tendon ruptures ............ : 2 (0,05 % of aponevrotomies)
TOTAL : 138.
8,9 % of sessions and 3,7 % of aponevrotomies.
RESULTS
BAD..............(Pourcentage of amelioration <
50%)............ = 64 Hands = 6,4 %
MEDIUM .......(50% > Percentage of amelioration < 70%)..= 126 Hands = 12,7 %,
19,1 % of BAD results
GOOD......................(70 %>
Percentage of amelioration <90%)..= 295 Hands = 29,8 %
EXCELLENT...........(Percentage of amelioration > 90%)..............= 507 Hands
= 51,1 %,
80,9 % of GOOD results.
| Number of hands | STAGE 1 | STAGE 2 | STAGE 3 | STAGE 4 |
| Excellent | 321 | 134 | 45 | 7 |
| Good | 52 | 116 | 91 | 36 |
| Medium | 19 | 52 | 36 | 19 |
| Bad | 11 | 20 | 19 | 14 |
| Total | 403 | 322 | 191 | 76 |
| Poucentage | STAGE 1 | STAGE 2 | STAGE 3 | STAGE 4 |
| Excellent | 79,7 % | 41,6 % | 23,6 % | 9,2 % |
| Good | 12,9 % | 36,1 % | 47,6 % | 47,3 % |
| Medium | 4,7 % | 16,1 % | 18,9 % | 25,0 % |
| Bad | 2,7 % | 6,2 % | 9,9 % | 18,5 % |
| RESULTS | STAGE 1 | STAGE 2 | STAGE 3 | STAGE 4 |
| GOOD | 92,6 % | 77,7 % | 71,2 % | 56,5 % |
| BAD | 7,4 % | 22,3 % | 28,8 % | 43,5 % |