Patient-Reported Outcome in Dupuytren’s Disease Treated With Fasciectomy, Collagenase or Needle Fasciotomy: A Swedish Registry Study

نویسندگان

چکیده

PurposeThis registry study compares the patient-reported outcomes of 3 treatments for Dupuytren´s disease: open fasciectomy (OF), collagenase injection (CCH) and percutaneous needle fasciotomy (PNF).MethodsFrom Swedish national quality hand surgery (HAKIR) we included 2,585 procedures (in 2,414 patients): 1,200 were OF, 918 CCH, 467 PNF. The choice between CCH PNF varied mainly because regional differences in reimbursement CCH. We report results validated outcome instrument HQ-8. HQ-8 evaluates symptoms treated is issued before treatment, 12 months after treatment used all patients HAKIR.ResultsAt 3-month follow-up, with or experienced less stiffness, weakness, numbness, tingling sensitivity to cold. At months, among smaller, but stiffness weakness compared PNF-treated patients.ConclusionsMost randomized controlled trials have not shown significant recurrence rates PNF, number has been limited no treatments. In present study, data on a real-life clinical setting. Our confirm that noninvasive (CCH PNF) cause disability than OF indicate possible advantage regarding at 1 year based outcomes. Patient-reported residual are important consider when informing selecting disease.Type study/level evidenceObservational III. This (PNF). From HAKIR. patients. Most disease.

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ژورنال

عنوان ژورنال: Journal of hand surgery global online

سال: 2023

ISSN: ['2589-5141']

DOI: https://doi.org/10.1016/j.jhsg.2023.06.009