RecruitingNot ApplicableNCT06788847

Evaluating Ultrasound-Guided Needle Knife for Dupuytren's Contracture

Advancing Dupuytren's Contracture Treatment: a Clinical Prospective Study on Ultrasound-Guided Needle Knife Dissection

Sponsor

Mohamed Maher Ismail Ahmed Elashmawy

Enrollment

30 participants

Start Date

Jan 19, 2025

Study Type

INTERVENTIONAL

Conditions

Dupuytren Contracture

Summary

This study aims to evaluate the efficacy and safety of ultrasound-guided needle knife dissection in treating Dupuytren's contracture. The procedure is designed to improve hund function and minimize complications associated with the conventional surgical methods.

Eligibility

Min Age: 18 Years

Inclusion Criteria2

Participants diagnosed with Dupuytren's Contracture.
Willing to undergo ultrasound-guided needle knife dissection

Exclusion Criteria7

Patients who have undergone previous surgery or needle apponeurotomy for Dupuytren's Contracture on the same hand.
Active hand infections, open wounds, or dermatological conditions in the treatment area.
Coagulopathy or use of anticoagulant that cannot be safely paused
Neuromuscular disorders affecting hand function
Pregnancy or breastfeeding
Uncontrolled systemic illnesses, such as poorly managed diabetes or cardiovascular disease.
Known hypersensitivity to local anesthetics.

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Interventions

PROCEDUREUltrasound guided needle knife dissection

This procedure involves a minimally invasive dissection of the fibrous cords in Dupuytren's Contracture using a needle knife guided by ultrasound imaging. Local anesthesia using 3-5 ml of 1% Lidocaine and 0.25% bupivacaine is administered for patient comfort. The technique aims to improve precision, minimize complications and reduce recurrence. Device: Sonosite M-Turbo Ultrasound Machine with Linear Probe HFL38x (6-13 MHz) is used for real-time imaging during the procedure.