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Forum for Dupuytren's and Ledderhose 
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  • Historical Note
    • Historical Note
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    11/15/2004 23:07
    mort

    not registered
    11/15/2004 23:07
    mort

    not registered

    		 Historical Note

    Drs. Kilgore and Newmeyer in San Francisco were doing percutaneous joint release in the 1980's.
    11/15/2004 23:10
    mort

    not registered
    11/15/2004 23:10
    mort

    not registered

    		 Historical Note

    Plast Reconstr Surg. 1987 Jul;80(1):88-91. Related Articles, Links


    Percutaneous desmotomy of digits for stiffness from fixed edema.

    Wisnicki JL, Leathers MW, Sangalang I, Kilgore ES Jr.

    A simple technique, not previously described, has been successful in achieving increased motion of contracted metacarpophalangeal and proximal interphalangeal joints of the hand. The procedure involves percutaneous sectioning of collateral ligaments followed by joint manipulation. Experience with 65 stiff joints treated by this minimally invasive technique followed by physical therapy revealed an average final gain of 28 degrees for metacarpophalangeal joints and 19 degrees for proximal interphalangeal joints. Mean follow-up was 13 months. This compares favorably to the more aggressive technique of open arthrolysis, thus offering a simple and effective treatment alternative.
    11/16/2004 23:20
    Patsy 
    11/16/2004 23:20
    Patsy      		Historical Note

    Did some doctors really do NA in the 1980's? Why have we not heard about it? What does desmotomy mean?
    11/28/2004 23:46
    mort

    not registered
    11/28/2004 23:46
    mort

    not registered

    		 NA

    Why don't we know more about this?

    11/30/2004 23:17
    Fred 
    11/30/2004 23:17
    Fred      		More NA doctors

    Do you mean then that an unknown numbers of doctors have been practing NA in the USA for some time? You may be right. We saw that Dr. Denkler is doing NA. We know that his mentor taught him NA so his mentor was an NA practioner some time ago (1960's?). SarahB said: "I had NA done last month. It was not done by Dr. Eaton or his associate, and I didn't travel to Paris. Many hand surgeons are aware of NA and they are educated about it." Do you think many more doctors know NA in the USA?
    11/30/2004 23:44
    Frances

    not registered
    11/30/2004 23:44
    Frances

    not registered

    		 Correction

    We saw that Dr. Denkler was willing to go to Paris and learn how to do NA but that he would not be able to clear his schedule for a year or so.

    Frances
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    aggressive   collateral   technique   practioner   Correction   previously   alternative   Experience   ligaments   percutaneous   arthrolysis   interphalangeal   metacarpophalangeal   sectioning   Historical   contracted   manipulation   doctors   successful   desmotomy