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Needle fasciotomy for Dupuytren's contracture

 
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.

OPCS code:

Details

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
Guidance issue 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

Links: