Mark Vitale, MD

Treating recurrent Dupuytren's contractures after surgery is a challenge. I'm proud to have contributed to a multicenter study that shows collagenase is safe/effective in treating these contractures. We saw a mean 38° improvement w/minimal adverse events. tinyurl.com/5n8ffe3h

I’m excited to be participating in the DocMatter platform to help colleagues treat patients with Dupuytren's disease. Read more: tinyurl.com/3jpnz7wh #HandSurgery #DupuytrensContracture #DocMatter

I was honored speak at the Intl. Conference on Dupuytren Disease in Brussels, May 16-17. I discussed the role of collagenase and contracture recurrence. I learned new findings on genetics, cellular biology and evolving treatments. Thanks to Dr DeGreef for hosting a great meeting!

I'm excited to have performed the first ten endoscopic carpal tunnel releases with the newly released VECTR device by Rafael Medical Devices. This system allows surgeons to reduce turnover times/sterilization costs at ASCs; enhances the ability to perform this surgery in office.

Wishing you and your families Happy Holidays as we celebrate the end of 2024 and ring in the New Year.

Proud to support Project Music. Last week, I attended Project Music's 10th Anniversary Gala Extravaganza with my partner, fellow hand surgeon Dr. Matthew Cantlon. Proceeds supported Project Music's mission to use the transformative power of music to effect positive social change

Original Article: Collagenase Injection versus Limited Fasciectomy for Dupuytren’s Contracture (DISC) nej.md/3ZV5npW #Orthopedics

I learned a lot about Dupuytren's contracture from intl. leaders as I moderated an Instr. Course Lecture @ ASSH '24—International Perspectives on Dupuytren's Disease. Thank you to speakers, Drs. Prosper Benhaim, Juan Carlos Marquez, Donald Lalonde, @Ilse_Degreef & Paul Werker.

Proud of my coauthors @ONS_Foundation—honored to coauthor this study w/one of my mentors who developed the technique, Dr. Bernard Morrey @MayoClinic. Intrabursal injection of doxycyline was a safe & effective alt. to surgery f/olecranon bursitis refractory to conservative mgmt.

On Sat., Greenwich Hospital welcomed Dr. Charlie Eaton, one of the world’s experts on Dupuytren’s Disease and the surgeon who brought needle fasciotomy to the US. He gave a seminar on the challenges of this condition and his work with the Dupuytren Research Group to find a cure.

I am such a proud daddy of my daughter, Sienna, who did a beautiful job at her ballet recital this week.

Spent a day teaching my son about bones at the dinosaur exhibit at the Museum of Natural History. Maybe Luca is a budding orthopedic surgeon?

@OrthopedicsMD @orthobullets @ONSMD @robgraymd @itius @handsurgortho @ColJacksMed @MrAlexNicholls @orthohand @Dr_RyanRose @MarvinDingleMD @anilbhatortho pubmed.ncbi.nlm.nih.gov/32546304/

@OrthopedicsMD @orthobullets @ONSMD @robgraymd @itius @handsurgortho @ColJacksMed @MrAlexNicholls @orthohand @Dr_RyanRose @MarvinDingleMD @anilbhatortho Agree, the skin tears are a minor issue if they occur as they heal by secondary intention in 7 - 14 days. We published a prospective study in JHS(A) in 2020 looking at risk factors for developing to help predict pretreatment.

Here is a new case by Dr. @MarkVitaleMD and Orthopaedic & Neurosurgery Specialists (@ONSMD). RING FINGER FLEXION CONTRACTURE IN 64M How would you manage this #orthotwitter? Vote on this case for CME: orthobullets.tiny.us/3tuw389m

@itius @OrthopedicsMD @orthobullets @ONSMD @robgraymd @handsurgortho @ColJacksMed @MrAlexNicholls @orthohand @Dr_RyanRose @MarvinDingleMD @anilbhatortho yes, lyphemdema of the medial elbow and/or axilla occurs in a small percentage of patients and is a minor issue as it resolves after a day or two

@OrthopedicsMD @MarkVitaleMD @orthobullets @ONSMD @robgraymd @handsurgortho @ColJacksMed @MrAlexNicholls @orthohand @Dr_RyanRose @MarvinDingleMD @anilbhatortho Mark,have you experienced armpit lymphadenithis?never saw one but other colleagues informed it

@itius @orthotraumamd @orthobullets @ONSMD @robgraymd @handsurgortho @ColJacksMed @MrAlexNicholls @orthohand @Dr_RyanRose @MarvinDingleMD @OrthopedicsMD @anilbhatortho @NicolaFine1 @BSSHand @Dupuytrens While surgery has lower recurrence, also has about 20% complication rate including permanent numbness, stiffness, infection, wound issues + CRPS. Via various systematic reviews there is still about a 35% recurrence with surgery at 5 - 10 yrs and the recovery takes 3 - 4 months.

@orthotraumamd @orthobullets @MarkVitaleMD @ONSMD @robgraymd @handsurgortho @ColJacksMed @MrAlexNicholls @orthohand @Dr_RyanRose @MarvinDingleMD @OrthopedicsMD @anilbhatortho @NicolaFine1 @BSSHand @Dupuytrens I’ve been trained in enzyme,but not a great enthusiast, some pitfalls and recurrence not worth it Even comparing needle/enzyme no difference Surgery less recurrence at 3 years in several papers With Pip involved,skin Pickering and relatively “young” I’d go for open surgery

How would you treat the patient at this time?

Happy holidays from the Vitale family as 2023 comes to a close and we prepare to ring in 2024.