Needle Study Results |
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04/25/2003 23:35
Jim not registered
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04/25/2003 23:35
Jim not registered
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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
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04/25/2003 23:50
JImnot registered
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04/25/2003 23:50
JImnot registered
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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.
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04/25/2003 23:26
Sean
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04/25/2003 23:26
Sean
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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.
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04/27/2003 23:33
JImnot registered
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04/27/2003 23:33
JImnot registered
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French Needle Statistics on 992 Hands
Sean: The Needle Aponevrotomy (NA) is 50% less than surgery after 5 years, stages 1-4. JIM
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04/27/2003 23:14
Fred not registered
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04/27/2003 23:14
Fred not registered
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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.
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04/27/2003 23:05
Sean
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04/27/2003 23:05
Sean
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Stats
Jim, Where did you get the information? From what I read, it didn't say that. Is this from the Badois website?
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04/27/2003 23:09
Sean
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04/27/2003 23:09
Sean
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Segmental Aponeurectomy
Fred, I haven't heard of anyone else doing Segmental Aponeurectomy outside of Belgium.
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04/28/2003 23:40
Jimnot registered
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04/28/2003 23:40
Jimnot registered
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Recurrence
Sean: That information is posted on the forum, gathered from 5 years data. JIM
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04/28/2003 23:20
Sean
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04/28/2003 23:20
Sean
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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.
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04/28/2003 23:06
John Doenot registered
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04/28/2003 23:06
John Doenot registered
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nitpicking
Gary must be a Virgo.
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