Further benefits of the procedure are that it typically can be done under simple
local anesthetic and is a fairly brief procedure. There are no stitches, and there
are minimal wounds. Recovery to regular activity can occur within days.
Significant improvement of the contracture is quite typical, but much like any Dupuytren’s
contracture treatment, with NA, a residual smaller contracture may persist after
Those who have had open surgery before are amazed at the difference in recovery!
With the development of this technique, there now is little excuse to delay treatment.
To find out if you are a candidate for Needle Aponeurotomy at The Hand Center at
Cascade Orthopaedics, please give us a call at (253) 833-7750, and we would be happy
to set up a consultation.
Results at One Week
One of the most remarkable recent developments in hand surgery is the technique of
Needle Aponeruotomy (NA). Developed in Europe and recently brought to the United
States by Dr. Charles Eaton, this treatment has been growing in popularity among
Traditional open surgery can be quite effective, but it is very
invasive and involve a long recovery time. This has inspired the development of
innovative techniques. In open surgery, the contracture cords are literally removed
from the hand, thus un-tethering the fingers and letting them extend. In the NA
technique, nothing is removed from the hand. The cords are simply cut into pieces
and allowed to tear apart and separate. This un-tethers the finger and lets it
Instead of being performed through open incisions, NA is done only through needle
puncture wounds. The tip of a regular hypodermic needle is quite sharp, and can
actually be used as a tiny knife. Using careful motions, the cord can be cut through
several small punctures and ultimately disrupted. The finger is then released into