Percutaneous needle fasciotomy for Dupuytren’s disease: minimizing morbidity

We read with interest the letter by Nikkhah and Kang in the January issue of the journal (1), describing anecdotal observations derived from a series of 150 patients treated with percutaneous needle fasciotomy (PNF). Nikkhah and Kang perform PNF along the lines described by Foucher et al. (2). Our own PNF practice differs in several significant respects. In particular, we question the requirement for wrist block, and we highlight differences in the positioning of the PNF sites, the gauge of needle and the post-operative splinting regime.

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