Sean: quotes 2002.......
At 5 years my relapses are much less than the 50% mentioned above......
Taking into account of the 4 stages of Dupuytrens disease the rate of relapses at 5 years after aponevrotomy is 50% as high as after surgery.
In case of recurrance, usualy between 5 to 10 years this simply intervention can simply be repeated.
.. sorry for my English.
JIM

Jim,
It is simply not correct what you are saying. Where did you get the information? No study has stated what you are saying that recurrence with NA is less than that of surgery. NA is similar in recurrence as a fasciotomy and recurrence is greater than with a limited fasciectomy. Jerry is right that NA is less invasive as is a fasciotomy, and that has advantages. The downside is that it needs to be performed more often than a limited fasciectomy. And as Moerman stated in his thesis, the first operation, for most people is their last. People with an aggressive diathesis will have more procedures no matter what type of procedure they choose. Moerman also agrees that the less invasive the first procedure, the better for those that have an unfavorable diathesis.

It is not in anyones interest to post false statistics on this forum. If Jim can cite where his numbers came from that would be great. In accurate information helps no one.

Reading this forum and looking for good information, it certainly gets frustrating at times with the crap back and forth. Here is my take on all this and everyone can take it or leave it, it's just my .02. I don't understand nor do alot of people, why you Sean, are so dead set against any procedure that alleviates the problems associated with DC, other than conventional or semi-conventional surgery. If you are a Dr. or have a stake in it (on the surgery side) then come out and say so. People may, I say may respect what you have to say, other than your constantly, or it appears so, almost constant bashing of any methods other than surgery. If you indeed had a successful surgical procedure, then GOOD FOR YOU. I heartily mean that. Many others though have not. Maybe you had a great Dr., while the others didn't. On the other hand, if someone wants/or is interested in NA or whatever to take care of DC, regardless of having to repeat the procedure in the future, which we all understand and accept, then ACCEPT that. My dad used to tell me, "If you haven't anything good to say, then don't say it at all". Positive information, ie, successful surgeries, NA procedures, news on research, "sharing our stories and supporting each other" is what this is about, not finding ways to make one procedure THE procedure. To each his own. Some people, I for one, don't want to head down the path of surgeries, with the 'Possible' inherent problems, if I can have a procedure that while not eliminating DC, will give me the control back over my hands. I personally am looking at NA for sometime next year, I don't want 'surgery'. Let's all get back to where this forum needs to be. If we must have 'confession' time and list our occupations/special interests then so be it, but again, would it be truthful?
Sorry for the rant.

Len Buchanan

Has anybody ever noticed that Gary/Sean is remarkably silent when someone makes a post praising their NA procedure? He tends to comment on everything else (as if he is board moderator) but is oddly absent when people, that have had NA, are effusively praising the NA procedure and subsequent results.