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

kdenklermd@hotmail.com
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Photographs of Dupuytren's Needle Release
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Needle Aponeurotomy, a Simple Fasciotomy for Dupuytren's Contracture
Needle Aponeurotomy for Stage …
This patient had a loss of 70 degrees of straightening at his first joint (MCP) and a loss of 65 degrees at the middle joint (PIP). The total loss of extension was 135 degrees or stage IV. The bottom pictures show the significant improvement eight months later. There is a residual bend of 35 degrees at the PIP joint, but the first joint has maintained extension.
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