P.A.
Handchirurgie,Unfallchirurgie & Physiotherapie

TAKE HOME MESSAGES FROM BRUSSELS

THE LATEST NEWS IN DUPUYTRENS

1. THEY ARE SEARCHING FOR MEDICAMENTS...

2. PERHAPS SURGERY WILL BE A FAILURE IN THE FUTURE


3. "WE HOPE WE WILL FIND A DRUG SOLUTION"

Until this, we have to do more or less invasive procedures...

4. There are 2 trends in surgery treatments:

Maximal invasive treatment: 

The goal is to put away all fibres of Dupuytren


Dermatofasciectomy

Good old open palm technic (Mc Cash): resection of skin and dupuytrens fibers. Let heal the palm open!


Skin grafting


Resection of all fibers with the microscope  (Mikrofasciectomy)


5. Minimal invasive treatment - this is my favorite and what I do!


...you can do it just like this:

...before Xiaflex and mini-aponeurectomy


Xiaflex and mini-aponeurectomy  = minimal invasive treatment 




3 months after Xiaflex and mini-aponeurectomy

thanks to all experts and scientists above!  (photos privat)

 
 
 
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