The Journal of hand surgery · 2013
A comparison of percutaneous needle fasciotomy and collagenase injection for dupuytren disease.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Nydick Jason A, Olliff Bailee W, Garcia Michael J, Hess Alfred V, Stone Jeffrey D
Аннотация
PURPOSE: To compare percutaneous needle fasciotomy (PNF) with collagenase injection in the treatment of Dupuytren contracture.
METHODS: A retrospective review was performed for patients with Dupuytren disease treated with PNF or collagenase. Range of motion, patient satisfaction, and complications were recorded.
RESULTS: There were 29 patients in the collagenase group with mean baseline contractures of 40° for 22 affected metacarpophalangeal joints and 50° for 12 affected proximal interphalangeal joints. The PNF group was composed of 30 patients with mean baseline contractures of 37° for 32 affected metacarpophalangeal joints and 41° for 18 affected proximal interphalangeal joints. All patients were observed for a minimum of 3 months. Clinical success (reduction of contracture within 0° to 5° of normal) was accomplished in 35 of 50 joints (67%) in the PNF group and in 19 of 34 joints (56%) in the collagenase group. Patient satisfaction was similar between groups. Only minor complications were observed, including skin tears, ecchymosis, edema, pruritus, and lymphadenopathy.
CONCLUSIONS: In the short term, both PNF and collagenase have similar clinical outcomes and patient satisfaction.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III.
METHODS: A retrospective review was performed for patients with Dupuytren disease treated with PNF or collagenase. Range of motion, patient satisfaction, and complications were recorded.
RESULTS: There were 29 patients in the collagenase group with mean baseline contractures of 40° for 22 affected metacarpophalangeal joints and 50° for 12 affected proximal interphalangeal joints. The PNF group was composed of 30 patients with mean baseline contractures of 37° for 32 affected metacarpophalangeal joints and 41° for 18 affected proximal interphalangeal joints. All patients were observed for a minimum of 3 months. Clinical success (reduction of contracture within 0° to 5° of normal) was accomplished in 35 of 50 joints (67%) in the PNF group and in 19 of 34 joints (56%) in the collagenase group. Patient satisfaction was similar between groups. Only minor complications were observed, including skin tears, ecchymosis, edema, pruritus, and lymphadenopathy.
CONCLUSIONS: In the short term, both PNF and collagenase have similar clinical outcomes and patient satisfaction.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III.
Предметные рубрики MeSH
AgedCohort StudiesDupuytren ContractureFasciotomyFemaleHumansInjections, IntralesionalMaleMicrobial CollagenaseMiddle AgedMinimally Invasive Surgical ProceduresOrthopedic ProceduresPain MeasurementRange of Motion, ArticularRecovery of FunctionRetrospective StudiesSeverity of Illness IndexTreatment Outcome