Randomized Controlled Trial Comparing the Clinical Effectiveness of Collagenase Injection (Xiaflex^®) and Palmar Fasciectomy in the Management of Dupuytren's Contracture.

ABSTRACT: Introduction: Limited palmar fasciectomy (LPF) and collagenase injection (CI) are the most common procedures to manage symptoms of Dupuytren's Disease. This randomized controlled trial (RCT) aimed to directly compare patient outcomes 12 months following CI and LPF. Methods: Twenty-two patients with Dupuytren's Disease were randomized to either LPF or CI. The primary outcome was health state measured by the Michigan Hand Questionnaire. Secondary outcomes were health status (The Health Utility Index-3), function (The Unité Rhumatologique des Affections de la Main and The Southampton Dupuytren's Scoring Scheme), and range of motion (ROM) of treated digits. Measurements were collected at baseline and 1-, 3-, 6-, and 12-months post-procedure. Results: Thirteen patients were

SUBMITTER: Thoma A 

PROVIDER: S-EPMC11489938 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature