Comparison Guide

Dupuytren's: Needle Aponeurotomy vs Fasciectomy

Compare needle aponeurotomy and open fasciectomy for Dupuytren's contracture — recurrence rates, recovery, costs, and candidacy.

Needle Aponeurotomy

An office procedure using a needle to break the Dupuytren's cord. Recurrence: 50-65% at 5 years. Minimal recovery. Best for elderly patients or mild single-cord disease.

Open Fasciectomy

Surgery to remove the diseased tissue through a palm incision. Recurrence: 20-30% at 5 years. 4-8 week recovery. Best for severe or recurrent disease.

Comparison

Factor	Needle	Fasciectomy
Recovery	Days	4-8 weeks
Recurrence (5yr)	50-65%	20-30%
Cost	$1,000-$3,000	$5,000-$15,000
Anesthesia	Local	Regional block
Best for	Mild, elderly	Severe, recurrent

Frequently Asked Questions

Which lasts longer?

Open fasciectomy has the lowest recurrence rate (20-30% at 5 years vs 50-65% for needle).

Can I have needle first and surgery later?

Yes. Many patients start with needle aponeurotomy and proceed to surgery if the contracture recurs.

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