Needle aponeurotomy for Dupuytren’s is not that new. It’s a new twist on the very first operation described for Dupuytren’s, percutaneous fasciotomy, which was performed by Cooper years before Dupuytren’s famous presentation. Adams wrote extensively about his results with percutaneous fasciotomy for Dupuytren’s in the late 1800s. Before Lermusiaux began using a needle for percutaneous fasciotomy and calling it needle aponeurotomy, the last doctor to have much experience with the technique was Vernon Luck, who used his own “Luck Fasciotome”, a tiny knife made in his machine shop, to perform percutaneous fasciotomy. Luck reported his concept of the biology of Dupuytren’s along with his experience with his technique, and it’s an interesting read. (full text: http://www.dupuytrenfoundation.org/DupPDFs/1959_Luck_1074.pdf)
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