Surgery best for Dupuytrens

New data is showing better two-year success rates for treating Dupuytren contracture by surgery than for needle fasciotomy or collagenase injection.

This common hereditary disorder affects the palmar fascia in middle-aged and older people, more often men. The disease typically affects the ring and little fingers, and they may curl toward the palm. While the disease can’t be cured, it can be eased.

The study, by the Department of Orthopedics, Traumatology and Hand Surgery, Kuopio University Hospital, Kuopio, and Tampere University, Tampere, both in Finland, initially found that outcomes were similar among all three possible treatments after three months, but after two years, only the surgery group maintained the success rate. Surgery success rates vs needle fasciotomy were 78% vs 50% while against collagenase injection they were 78% vs 65%.

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