Needle aponeurotomy for the treatment of Dupuytren's disease.

PNA is one of many treatments available for the treatment of hand contractures resulting from Dupuytren’s disease. It is generally recommended for elderly patients with less severe contractures who desire a less invasive procedure, or as a first stage to delay surgery in those with more aggressive disease. The procedure is safe and easily tolerated by patients, but there is a high rate of recurrence.