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I felt this significant enough to warrant it~sq~s own thread
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05/11/2006 23:30
Randy H.

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05/11/2006 23:30
Randy H.

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I felt this significant enough to warrant it~sq~s own thread

Dr. Keith Denkler is the first to use a combination of limited Open Surgery *before* NA to overcome scar tissue obstructions that often occur form previous Dupuytren's Surgeries (Fasciectomy). This is significant because it may increase the number of people who can become candidates for NA. Before now, those with multiple previous surgeries were often disqualified.

Initially, as NA gains wider and wider acceptance among CHS this will be important. Many of their patients with aggressive disease will need additional procedures. Now NA has as greater chance of being an option, rather than continued OS.

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This also may be of *great* significance to current and future readers
of the Forum who may think they are disqualified for NA. Just as Eaton
was the first to bring NA to the US, Dr. Denkler is the first to explore
extending NA's availability to previous Open Surgery patients.
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05/12/2006 23:21
Diane

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05/12/2006 23:21
Diane

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New Thread

Thanks for starting a new segment on this topic. I posted my story of the combination procedure and told Dr. D it was fine with me for him to comment. You can compare my report from the patient's point of view to his more technical comments but I think I described the procedure accurately.

Its now 10 days since the procedure and I am doing exercises to keep the result and return to full flexion which Dr. D says will happen. I have returned to my work as a ceramic artist with a band aid on the incision and a latex glove to keep it clean. As mentioned in the other post, I have pictures that I will share if anyone wants and will report future status. I have asked Dr. D about imquimod and he says later after I am fully healed. He mentioned it is expensive.

05/12/2006 23:15
.

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05/12/2006 23:15
.

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Follow Up

I don't think the drugs expensive when you consider the drug companies will probably cover. It also competes with the $500/finger for those who don't have insurance.

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05/22/2006 23:14
Diane

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05/22/2006 23:14
Diane

not registered

Follow Up

This is a follow up on the "combination procedure" performed by Dr, Denkler on my pinkie 3 weeks ago. The disolving stitches are gone and there is a very small scab area on a section of the incision. a little dead skin is flaking off with nice new skin underneath. I can see its going to be a lot better than before this procedure where there was some pretty significant scarring. Having a surgeon trained in plastic surgery and minimizing scarring is sure a good think for a person who has had prior surgeries.

I am working the pip joint with recomended excercises many times per day. Also use a night splint left over from prior surgery. May need a follow up cortisone shot and Dr. D will prescribe imiquimod. Pinkie is bent only 10- 15 degrees now. A good result indeed.

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underneath   obstructions   minimizing   expensive   acceptance   disqualified   significant   Fasciectomy   procedure   additional   mentioned   Surgeries   availability   accurately   procedures   recomended   aggressive   excercises   combination   significance