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Needle Study Results
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04/25/2003 23:35
Jim

not registered

04/25/2003 23:35
Jim

not registered

Needle Study Results

Based on a study of Needle Aponevrotomy of 992 hands and 3736 procedures:
Stage 1 Contractures: GOOD 93%, BAD 7%
Stage 2 Contractures: GOOD 78%, BAD 22%
Stage 3 Contractures: GOOD 71%, BAD 29%
Stage 4 Contractures: GOOD 56%, BAD 44%

OVERALL TOTALS: GOOD 81%, BAD 19%

(Good meant 71-100% successful straightening, BAD 70% or less). Stage 1,2 was EXCELLENT 90%+, Stage 3 was GOOD.

RECURRANCES was 50% less than traditional surgery.

For more details go to this site:
http://assoc.wanadoo.fr/f.badois/Dupuytren/html/gbresultats95.html
or http://assoc.wanadoo.fr/f.badois/dupuytren.html and click statistics

04/25/2003 23:50
JIm

not registered

04/25/2003 23:50
JIm

not registered

OOPS: wrong web address

should have been - and not / between badois and dupuytren
http://assoc.wanadoo.fr/f.badois-dupuytren/html/gbresultats95.html
or
http://assoc.wanadoo.fr/f.badois-dupuytren/html/gbsommaire.html

sorry about that.

04/25/2003 23:26
Sean 
04/25/2003 23:26
Sean 
NA

Jim,
Recurrence is not 50% less than traditional surgery as you stated. Also the numbers of 50% recurrence after 5 years for traditional surgery is about right for fasciotomies, but the common procedure of limited fasciectomy has a recurrence rate less than that of NA and fasciotomies. The procedure that compares favorably for recurrence with limited fasciectomies is Segmental Aponeurectomy made popular in Belgium by J.P. Moermans, M.D.

04/27/2003 23:33
JIm

not registered

04/27/2003 23:33
JIm

not registered

French Needle Statistics on 992 Hands

Sean: The Needle Aponevrotomy (NA) is 50% less than surgery after 5 years, stages 1-4. JIM

04/27/2003 23:14
Fred

not registered

04/27/2003 23:14
Fred

not registered

French Needle Statistics on 992 Hands


Sean - Do you or others personally know anyone who has had limited aponeurectomy performed? Do we know any doctors who perform this operation? Seems like a method to consider.

04/27/2003 23:05
Sean 
04/27/2003 23:05
Sean 
Stats

Jim,
Where did you get the information? From what I read, it didn't say that. Is this from the Badois website?

04/27/2003 23:09
Sean 
04/27/2003 23:09
Sean 
Segmental Aponeurectomy

Fred,
I haven't heard of anyone else doing Segmental Aponeurectomy outside of Belgium.

04/28/2003 23:40
Jim

not registered

04/28/2003 23:40
Jim

not registered

Recurrence

Sean: That information is posted on the forum, gathered from 5 years data. JIM

04/28/2003 23:20
Sean 
04/28/2003 23:20
Sean 
Recurrence

Jim,
The only reference I saw was:

"A comparison of medical fasciotomy with surgical fasciectomy, reported in 1993 (Badois and Coll.), showed that short-term outcomes were comparable.
The five-year recurrence rate is high (>50%) with both procedures."

Was there another reference you were talking about? The limited fasciectomy has a better (or lower recurrence) than that of the fasciotomy and NA. The limited fasciectomy has a recurrence rate similar to Segmental Aponeurectomy which, as far as I know, is only practiced in Belgium at J.P. Moermans clinic.

04/28/2003 23:06
John Doe

not registered

04/28/2003 23:06
John Doe

not registered

nitpicking

Gary must be a Virgo.

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Recurrence   Aponeurectomy   Contractures   anything   fasciotomies   semi-conventional   procedures   Aponevrotomy   fasciectomy   successful   procedure   badois-dupuytren   characteristics   gbresultats95   statistics   information   fasciectomies   traditional   limited   surgery