Effectiveness of Night Splinting After Percutaneous Needle Fasciotomy in Dupuytren's Contracture

Launched by UPPSALA UNIVERSITY · Mar 17, 2022

Keywords

ClinConnect Summary

This clinical trial is studying whether wearing a night splint after a specific treatment called percutaneous needle fasciotomy (PNF) can help reduce the chances of Dupuytren's contracture (DC) coming back. Dupuytren's contracture is a condition where the fingers bend towards the palm due to thickening of the tissue in the hand. The trial will involve patients who are 18 years or older and have specific signs of DC, such as a noticeable tightening in one or two fingers. However, those with more severe cases or prior treatments for the same finger will not be eligible to participate.

Participants in the study will be divided into two groups. One group will receive standard treatment, which includes physical therapy and night splinting, while the other group will have physical therapy without the night splint. Throughout the study, researchers will check how well each participant's hand is functioning, including how much they can move their fingers and their grip strength, at different times—starting from the day of the procedure and continuing for up to three years. This trial is important because it aims to provide clearer answers about whether night splinting is helpful after PNF treatment, which can guide future care for those with Dupuytren's contracture.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 18 years of age and older,
• • Palpable Dupuytren strand with passive extension deficit according to stadium 1 and 2 of the classification of Tubiana in one or two fingers excluding the thumb, defined as at least 30 degrees in the MCP joint and/or at least 20 degrees in the PIP joint and a maximum of 75 degrees in the MCP or PIP joint
• Exclusion Criteria:
• • Multiple, invasive or wide strands in the palm,
• • Skin irritation,
• • Strand localization in the digit only,
• • Digital nerve injury,
• • Any former treatment for Dupuytren's contracture in the same digit,
• • Thumb contracture,
• • Stadium 3 and 4 according to the classification of Tubiana