{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:45:41Z","timestamp":1767649541121},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,1,20]],"date-time":"2014-01-20T00:00:00Z","timestamp":1390176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2015,9]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Percutaneous needle fasciotomy (PNF<\/jats:styled-content>) is a minimally invasive technique used to manage D<\/jats:styled-content>upuytren's contracture. We compared outcomes of PNF<\/jats:styled-content> versus open fasciectomy (OF<\/jats:styled-content>) to examine the suitability of PNF<\/jats:styled-content> in A<\/jats:styled-content>ustralia.<\/jats:p><\/jats:sec>Method<\/jats:title>A retrospective cohort study using two questionnaires regarding D<\/jats:styled-content>upuytren's treatment was used to assess patients with uncomplicated primary disease. The primary outcomes were immediate and medium\u2010term correction of contracture (2\u2010year mean follow\u2010up to time of survey). Secondary outcomes were patient satisfaction and complications including tendon\/nerve injury, infection, skin necrosis and vascular damage.<\/jats:p><\/jats:sec>Results<\/jats:title>One hundred fifty\u2010five out of 191 surveys were returned (81%). The final analysis included 125 cases (65%), 73 PNF<\/jats:styled-content> and 52 OF<\/jats:styled-content>. No significant differences were observed between both groups with regards to follow\u2010up time, gender, smoking status, co\u2010morbidities or preoperative deformity grade. No significant differences were observed in terms of immediate or medium\u2010term deformity correction, tendon\/nerve injury or circulatory complications. The postoperative infection rate was higher with OF<\/jats:styled-content>, with these patients 7.57 (95% confidence interval 1.56, 36.77; P<\/jats:italic> = 0.01) times as likely to have a postoperative infection as patients undergoing PNF<\/jats:styled-content>. A higher number of patients who underwent PNF<\/jats:styled-content> were told that they would require another operation (30% versus 12%; P<\/jats:italic> = 0.02). Satisfaction scores were similar (OF<\/jats:styled-content> 33.2 versus PNF<\/jats:styled-content> 32.6; P<\/jats:italic> = 0.82).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The OF<\/jats:styled-content> and PNF<\/jats:styled-content> procedures provide comparable deformity correction for uncomplicated primary D<\/jats:styled-content>upuytren's disease in the immediate perioperative period. The reduced side effect profile of PNF<\/jats:styled-content> should prompt surgeons to consider incorporating it in their practice for the first\u2010line management of uncomplicated primary D<\/jats:styled-content>upuytren's disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12513","type":"journal-article","created":{"date-parts":[[2014,1,20]],"date-time":"2014-01-20T11:10:25Z","timestamp":1390216225000},"page":"639-643","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Dupuytren's contracture: an analysis of outcomes of percutaneous needle fasciotomy versus open fasciectomy"],"prefix":"10.1111","volume":"85","author":[{"given":"Jason T.","family":"Toppi","sequence":"first","affiliation":[{"name":"Peninsula Clinical School Monash University Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leisel","family":"Trompf","sequence":"additional","affiliation":[{"name":"Peninsula Clinical School Monash University Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas R.","family":"Smoll","sequence":"additional","affiliation":[{"name":"Peninsula Clinical School Monash University Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivian","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Peninsula Health Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrina","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Peninsula Health Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael W.","family":"Findlay","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Peninsula Health Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Hunter\u2010Smith","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Peninsula Health Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,1,20]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"272","article-title":"[Description of Dupuytren disease by the Basel physician and anatomist Felix Plater in 1614]","volume":"27","author":"Belusa L","year":"1995","journal-title":"Handchir. 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