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Three-Year Results of First-Ever Randomized Clinical Trial on Treatment in Dupuytren’s Disease: Percutaneous Needle Fasciotomy Versus Limited Fasciectomy

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Abstract

In this chapter, we describe the 3-year follow-up results of our randomized controlled trial on percutaneous needle fasciotomy (PNF) and limited fasciectomy (LF) for Dupuytren’s disease. This study shows that after 3 years, recurrence after PNF (64%) is more frequent than after LF (9%). We also found that younger patients get recurrent disease sooner after treatment for Dupuytren’s disease whichever treatment they received. Satisfaction with the results of treatment was high in both groups, but in the LF group higher than in the PNF group. For clarity, would you consider restating the sentence "Satisfaction with the results of treatment was high...." into "Satisfaction with the results of treatment was high in both groups, but satisfaction in the LF group was higher than in the PNF group"? Please check and amend if necessary. Nevertheless, patients who had previously undergone PNF were keen to have their recurrences treated by PNF again. PNF is an appropriate treatment for elder patients who require fast recovery of hand function and are willing to accept the drawback of an increased recurrence rate.

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Correspondence to Annet L. van Rijssen .

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van Rijssen, A.L., ter Linden, H., Werker, P.M.N. (2012). Three-Year Results of First-Ever Randomized Clinical Trial on Treatment in Dupuytren’s Disease: Percutaneous Needle Fasciotomy Versus Limited Fasciectomy. In: Eaton, C., Seegenschmiedt, M., Bayat, A., Gabbiani, G., Werker, P., Wach, W. (eds) Dupuytren’s Disease and Related Hyperproliferative Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22697-7_35

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  • DOI: https://doi.org/10.1007/978-3-642-22697-7_35

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