What is an aponeurotomy needle?

A aponeurotomy needle, also known as the needle of aponevrotomy or percutaneous needle of fasciotomy, is a minimally invasive procedure that is most often used to straighten the fingers that have been bent with dupuytrene contracture. This technique uses needles to break the hardened and contractual connective tissue that causes the finger to tighten, allowing the finger to straighten normally. Aponeurotomie jehly je levnější než tradiční chirurgie, má jen málo komplikací a může být často prováděna v ordinaci lékaře. Palmarská fascie je pojivová tkáň, která leží mezi šlachy a kůží na dlani. It provides a stable surface that normally prevents their fingers to bend too far back under pressure and give grip for their fingers.

in the Dupuytrene contract, this connective tissue ti tightens and contracts over time, leading to the formation of tissue nodes that can pull one or more fingers to a bent position. Tento stav obvykle není bolestivý, ačkoli uzly tkáně v dlani jsou občas citlivé na dotek. V raných stádiíchPatients usually seek medical care for cosmetic reasons. In later stages, treatment may be necessary to prevent any loss of hand function, which can cause problems with the implementation of everyday activities such as shaking hands or dressing.

Modern technique of aponeurotomy needles was developed by French rheumatologist Dr. Jean-Luc Lermusiaux at the beginning of 50 years. During the procedure, patients generally lie on their backs with an outstretched arm and the doctor can place small dots on the skin with a pen in the area where the needle will be used. Patients receive a local anesthetic attorney uses the tip of a small hypodermic needle to weaken and finally the division of the contractual fascia through a series of microscopic destination wounds. The procedure usually takes about an hour.

Traditional Surgical Treatment of Dupuytrene contracture is a partial palmar fasciactomy in which the palm and any affected fingers are usedIt eats large cuts and contractual tissue. This procedure may result in drawn rehabilitation, possible scar formation and other surgical complications. For this reason, patients often prefer non -surgical aponeurotomy procedure. In some situations, however, surgery may be required, such as cases where chronic disorder caused the skin to become less elastic, previous surgery has left too much scars or severe contraction cases.