A post hoc analysis of Dupuytren contracture treated with collagenase Clostridium histolyticum across disease stages

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Abstract

This post hoc analysis from a multicenter study (NCT01674634) was designed to evaluate the efficacy of collagenase Clostridium histolyticum (CCH) treatment in patients with different stages of Dupuytren contracture. Previously untreated patients who received two concurrent injections of CCH in two affected joints in the same finger were assessed by disease severity (Tubiana stage). The mean (SD) improvement in total fixed flexion contraction (FFC) 31 days post-CCH treatment in 181 patients was: 71.1 (36.5)% for Tubiana I, 77.0 (21.0)% for Tubiana II, 72.0 (20.4)% for Tubiana III and 66.4 (22.2)% for Tubiana IV. Treatment of metacarpophalangeal and proximal interphalangeal joints in the same finger resulted in a mean (SD) improvement of 82.5 (24.8)% and 66.4 (27.9)%, respectively. In conclusion, CCH is an effective treatment alternative for all stages of Dupuytren contracture and it provides a less invasive treatment alternative to surgery with similar short-term efficacy in patients with more severe disease.

Detaljer

Författare
Enheter & grupper
Externa organisationer
  • Drexel University
  • Swedish Orphan Biovitrum
  • Skåne University Hospital
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Kirurgi

Nyckelord

Originalspråkengelska
Sidor (från-till)301-306
TidskriftJournal of Plastic Surgery and Hand Surgery
Volym52
Utgåva nummer5
Tidigt onlinedatum2018 jul 24
StatusPublished - 2018
PublikationskategoriForskning
Peer review utfördJa