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Keith Denkler, M.D.


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 CONTACT INFO



Kybella


Common Procedures


BOTOX® for Wrinkles


 Dupuytren's Disease



Dupuytren's and XIAFLEX Pictures


Dupuytren's Contracture (Maladie de Dupuytren)


Dupuytren's for Patients


FAQ/Needle Aponeurotomy


XIAFLEX for Distal Joint Dupuytren's Contracture


ASSH Hand Society Presentation of NA


AAPS Presentation on Needle Aponeurotomy for Severe Dupuytren's


Dupuytren's Boutonniere Deformity Treated with XIAFLEX


XIAFLEX Boutonniere Treatment


2011 ASSH Dupuytren's Needle Presentation


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 Needle Release for Beauty



Needle Release for Beauty

Keith Denkler M.D.  
415-924-6010  
275 Magnolia Ave.  
www.PlasticSurgerySF.com  
Larkspur, CA 94939  


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Common Procedures








NA FOR DUPUYTREN'S CONTRACTURE OF THE HAND AND FINGERS
Minor surgical release of Dupuytren's Contracture under local anesthesia as an office procedure. Uses small hypdermic needles to cut the affected tissues, a needle fasciotomy, as opposed to opening up and excising the diseased tissues which is called a limited fasciectomy. A fasciectomy is usually performed in a hospital or outpatient surgical center under regional or general anesthesia. This office is one of the few which can perform surgery for Dupuytren's under strictly local anesthesia. However, needle releases, (NA) are the first surgical procedure of choice. Safety The most common complications after NA are skin tears 15%. Other more uncommon complications include sensory nerve injury 1-2%, bleeding 1%, localized infection 1%. Rare and remote complications would inclued tendon ruputure 0.1%, NA does not cure Dupuytren's, and neither does surgical excision. Both are performed to straighten the fingers. Recurrence may occur after surgery or a NA procedure, but it would be more common after needle releases and more common after NA for PIP (middle) joint disease.

  • Insurance Coding: Diagnosis 728.6 (Dupuytren's)

  • Procedue coding: 26040 (Percutaneous Fasciotomy)

  • In longstanding contractures, needle releases of the joints of tendons may be necessary.

  • NA or needle aponeurotomy may be combined with Kenalog(cortisone) injections of Dupuytren's nodules.


Price: 895 for first digit then 395 for each subsequent digit. Severe disease may need additional tendon or joint release procedures





Keith Denkler, M.D.  |  Contact Info  |  Kybella  |  Common Procedures  |  BOTOX® for Wrinkles  |  Dupuytren's and XIAFLEX Pictures  |  Dupuytren's Contracture (Maladie de Dupuytren)  |  Dupuytren's for Patients  |  FAQ/Needle Aponeurotomy  |  XIAFLEX for Distal Joint Dupuytren's Contracture  |  ASSH Hand Society Presentation of NA  |  AAPS Presentation on Needle Aponeurotomy for Severe Dupuytren's  |  Dupuytren's Boutonniere Deformity Treated with XIAFLEX  |  XIAFLEX Boutonniere Treatment  |  2011 ASSH Dupuytren's Needle Presentation  |  Credentials  |  Curriculum Vitae  |  Directions/Office Hours  |  Links  |  News Articles  |  Needle Release for Beauty

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