XIAFLEX and Needle Aponeurotomy for Dupuytren's Contracture


 
 




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Keith Denkler, M.D.


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


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Xiaflex and Needle Aponeurotomů

This patients photos are the next day after XIAFLEX injection equally into five dotted areas.  The thick cords were not weakened enough for rupture with manipulation under local anesthesia since the XIAFLEX was diluted into five aliquots.  Judicious needle fasciotomy in two areas (bloody) completed the straightening.  Needle and XIAFLEX can be combined, however it is more optimal to do this after much of the swelling has gone down.  In this case traveling from another state, the needle was safely done the next day to allow straightening of the finger and saving another visit.  An alternative would be to re-inject XIAFLEX in one month.

 







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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