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Needle fasciotomy for Dupuytren's contracture

Guidance issued Guidance issued
 
Number: IPG43
 
Summary:

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on this procedure.

Description:

Needle fasciotomy is an outpatient procedure where one or more fibrous bands (contractures) are cut (sectioned) using a blade or a bevel of a needle. Section is achieved by moving the needle in a sawing motion against the fibrous band. This movement is repeated several times, each time after rotating the needle in a star-shaped pattern in the plane of the palm.

Once partial section has been achieved the finger is extended causing the band to snap. A dry bandage is then secured by elastic tape and placed over the injection site for at least 48 hours.

Arrangement:

Normal

Topic Area:

Musculoskeletal

Specialty:

Trauma and orthopaedic surgery

Specialist advice has been sought from: British Society for Surgery of the Hand
Date notified to NICE: 18 February 2003
IP Pub Date: 25 February 2004
Contact Details:
Project manager (for general enquiries or comments)
(for general enquiries or comments)
Ben Doak
Technical lead
(for procedure specific enquiries or comments)
Sally Wortley
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA


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