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Forum for Dupuytren's and Ledderhose 
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  • Needle Study Results
    • Needle Study Results
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    05/02/2003 23:14
    Jerry

    not registered
    05/02/2003 23:14
    Jerry

    not registered

    		 NEEDLE APONEVROTOMY

    Mike,

    I suggest you start by visiting the following website:
    <http://jvm.com/wstagner/dlinks.htm>
    Spend some time and learn about your ailment.

    Good Luck
    05/04/2003 23:33
    Mary Beth & Richard

    not registered
    05/04/2003 23:33
    Mary Beth & Richard

    not registered

    		 French Needle

    Juli,
    Thank you for the posting you made on Friday night
    re: your surgeon Dr. Sowa. I'm glad that you were pleased
    with the doctor, and that you wanted to share this info.
    At this time we are not wanting anymore fasciectomies on
    his hands. Actually we would not consider anymore of these
    surgeries and it is good that you are planning to have a
    NA because that is also the avenue we are now pursuing.
    Maybe we will all end up in Europe having NA's things could
    be worse. Good luck to you, let us know how your NA goes
    as we will you.
    Mary Beth & Richard
    10/13/2003 23:02
    Riordan

    not registered
    10/13/2003 23:02
    Riordan

    not registered

    		 French Needle

    Yes. French Needle sounds best first. Getting to France might be a problem though. A curse on American doctors who refuse to learn NA.
    10/19/2003 23:57
    Tammy

    not registered
    10/19/2003 23:57
    Tammy

    not registered

    		 Needle Aponevrotomy Results

    This is worth restating:

    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

    12/02/2003 23:49
    Dennis Ernst

    not registered
    12/02/2003 23:49
    Dennis Ernst

    not registered

    		 French Needle Statistics on 992 Hands

    Thank you. I think American docs should keep such good records. I bet Dr. Eaton does. Your post is very helpful to me. Thank you again.
    12/02/2003 23:39
    Sean 
    12/02/2003 23:39
    Sean      		Invalid statement.

    Dennis,
    Tammy's statement that "recurrances was 50% less than traditional surgery", is a totally false statement. Dr. Eaton, who received his training in France makes it very clear that recurrence is greater with NA (and fasciotomies) than with a fasciectomy.
    12/02/2003 23:04
    Mort

    not registered
    12/02/2003 23:04
    Mort

    not registered

    		 Mort, it~sq~s Moot

    Sean, what is the difference, to the best of your knowledge, between the two procedures in regards to reoccurrence?
    12/02/2003 23:17
    Randy H.

    not registered
    12/02/2003 23:17
    Randy H.

    not registered

    		 Mort, it~sq~s Moot

    Mort:

    Because the pain, cost, and recovery time of NA are practically nonexistent compared to traditional invasive surgery, any discussion regarding their relative reoccurrence rates is, as far as I'm concerned, quite moot. If NA can be likened to getting an automotive "tune-up", surgery would have to be considered having you entire engine rebuilt from the ground up. No one rebuilds their engine when all it needs is a tune-up. Rebuilding the engine is what you do when you've no other choice to save the car.

    NA can be done indefinitely. Fact: Each of your hands only have the capacity for a limited number of surgeries, perhaps three or four. After that, it's all over.

    12/02/2003 23:30
    Sean 
    12/02/2003 23:30
    Sean      		Mort

    Mort,
    NA and fasciotomies generally have a higher recurrence than a limited fasciectomy. As Randy said, there is a trade-off that each person will have to decide. Most people have the neccesity for only one surgery in their lifetime. Some people who have DC badly will have a number of surgeries or procedures. If I would have had the surgery experience that Randy had, I would be leaning toward NA on my next procedure. But I had surgery and my finger is functioning as good as before DC. There is zero degrees contracture and 100% strength. So I don't know what I will do for the procedure on my other hand. Each person has different characteristics with their DC.
    I feel that Dr. Eaton has the knowledge to decide which procedure is appropriate for each person. There is not a one size fits all in DC.
    Good luck
    12/02/2003 23:38
    Concerned

    not registered
    12/02/2003 23:38
    Concerned

    not registered

    		 NA vs. CRIPPLING

    Mort,

    If you value your hands and possibly your livelihood then you are asking the wrong person (Sean) for advice. He will waltz you down the primrose path to destruction if he can.

    NA is the only path to travel at this time.

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