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Doctor~sq~s Opinion
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11/28/2004 23:34
Ray Stewart

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11/28/2004 23:34
Ray Stewart

not registered

Doctor~sq~s Opinion

I am from North Vancouver, Canada, and have just returned from visiting a plastic surgeon who I was referred to by my GP. He examined me and recommended an operation on my little finger to release what he calls an "ulna spiral cord". I mentioned NA and he reacted in the manner I was expecting - very negatively!! He did, however, have some seemingly valid arguments wrt my condition which is a cord running up the outside edge of my little finger. He says that the cord wraps around the ulna digital nerve. He claims it would be impossible to do NA and not damage this nerve. He was very convincing - has anyone else heard of this?? Apparently, this condition of DC was first described by a Dr. R.M. McFarlane.

11/28/2004 23:15
Graeme

not registered

11/28/2004 23:15
Graeme

not registered

Ulna Nerve

I asked my surgeon to comment on NA. He hesitated and then said I'm worried that there are nerves intertwining the cord. Same answer but not as reactive as your surgeon. There are videos out there which show the proceedure being done. These can be bought cheaply. I am going to get a copy and show my surgeon. The facts are that tens of thousands of NA's have been performed with acceptable levels of complications. It is also a fact that surgeons get far less in fees on an NA proceedure. To be fair they may adverse to change.

11/28/2004 23:38
Randy H.

not registered

11/28/2004 23:38
Randy H.

not registered

Fair?

To be *fair* to whom, us or the Surgeons? You *can't* mean it would be unfair to Surgeons if they had to stop cutting us open and make less money doing NA!(?). Yes, they are *adverse* to change, but I far more to unnecessary surgery.

In actuality, in the US Eaton is charging about $700 per finger. We've done the math on this site before. At that rate he is making the same about money he would with a scalpel. No, the facts seem to suggest it's about Ignorance, Tradition, Professional Pride, and the fear of bucking the current traditional thinking.

11/28/2004 23:04
jh

not registered

11/28/2004 23:04
jh

not registered

DC

I had surgery on my little finger. The surgeon didn't call it a 'spiral cord' but did say it would be tough to relase and not to expect too much. It was a generalized thickening running up the outside of the finger.

I sent photos to Dr. Badois in Paris and he wasn't very encouraging about the prospects for NA. I think the problem is the degree of adhesion of the Dupuytren's tissue to the surrounding, normal tissue. Long term results of the surgery were mixed, the joint eventually stabilized at about 45 degrees and has limited ROM.

BTW I just got back from visiting Vancouver - a great place.

11/29/2004 23:48
Sean 
11/29/2004 23:48
Sean 
DC

Ray,
Before my surgery, the surgeon looked first at the outside of my hand/finger for any activity there. Since there was nothing apparent, he said that was a good sign. I hadn't thought about it again until you mentioned this.

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