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The efficiency of percutaneous aponeurotomy in the treatment of Dupuytrens disease is well known. However, the duration of the clinical improvement after aponeurotomy is not well known.
This study aims primarily at measuring the incidence rate of local relapse of Dupuytrens-induced finger flessum, within two years following treatment by percutaneous aponeurotomy in Dupuytrens.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Percutaneous aponeurotomy | Experimental | Treatment of Dupuytrens-induced finger flessum using percutaneous aponeurotomy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Percutaneous aponeurotomy | Procedure | The finger(s) with limited extension due to Dupuytrens disease and for which the patient desires treatment, will be treated by fine-needle percutaneous aponeurotomy under local anesthesia (outpatient procedure). This procedure is already routinely used in clinical practice ; our study aims at better describing the time-sustainability of its benefits. |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of local relapse at 24 months | the statistical unit is the finger treated by aponeurotomy (we expect an average of 2 fingers treated for one patient included). Local relapse is defined as the recurrence of a finger flessum superior by 20° to the articular range initially obtained after aponeurotomy | 24 months after treatment by aponeurotomy |
| Measure | Description | Time Frame |
|---|---|---|
| Primary success rate of aponeurotomy | the statistical unit is the finger treated by aponeurotomy (we expect an average of 2 fingers treated for one patient included). Complete success is defined as a finger flessum inferior to 5° | 3 months after treatment |
| Frequency of local relapse at 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Diaconesses Croix Saint-Simon Hospital Group | Paris | 75020 | France |
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| ID | Term |
|---|---|
| D004387 | Dupuytren Contracture |
| ID | Term |
|---|---|
| D005350 | Fibroma |
| D018218 | Neoplasms, Fibrous Tissue |
| D009372 | Neoplasms, Connective Tissue |
| D018204 | Neoplasms, Connective and Soft Tissue |
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|
| 12 months after treatment by aponeurotomy |
| Frequency of local relapse at 36 months | 36 months after treatment by aponeurotomy |
| Frequency of local relapse at 48 months | 48 months after treatment by aponeurotomy |
| Frequency of local relapse at 60 months | 60 months after treatment by aponeurotomy |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D003286 | Contracture |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |