A pilot randomized controlled trial comparing the effect of a percutaneous and lipofilling technique in patients with a primary Dupuytren*s contracture with standard fasciectomy surgery on convalescence, contracture correction and recurrence rate.
Completed
- Conditions
- Dupuytren's contracturehand diseases1001076110040795
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 80
Inclusion Criteria
- males and females
- all ages
- primary Dupuytren*s contracture
- PIP > 30º/ MCP > 20º
- one or more affected rays
- severe or less severe diatheses
- American society of Anaesthesiologists (ASA) criteria I, II and III
Exclusion Criteria
- recurrent Dupuytren*s contracture
- history of hand surgery on the affected finger(s)
- use of blood thinners that can not be stopped for surgery
- ASA IV and V
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>- Convalescence: return to function and return to work<br /><br>- VAS score: standardized list of questions about pain and well-being of the<br /><br>patient; to register the pain of the hand and donor site.<br /><br>- Contracture reductions:<br /><br>1) Total passive extension deficity (TPED): the sum of the passive extension<br /><br>deficits of the metacarpophalangeal, proximal interphalangeal, and distal<br /><br>interphalangeal joints.<br /><br>2) Boyes measure: measuring the distance from pulp to distal palmar crease with<br /><br>the hand in a maximum fist position. Flexion is defined as reduced if the<br /><br>distance is more than 1.5 cm.</p><br>
- Secondary Outcome Measures
Name Time Method