Effectiveness of Percutaneous Needle Aponeurotomy

Summary

The main objective is to investigate if percutaneous needle aponeurotomy is non-inferior to open surgery using aponeurectomy in treatment of flexion contracture due to Dupuytren's disease. Our hypothesis is that percutaneous needle aponeurotomy has suitable efficacy and safety profile for large application in the treatment of Dupuytren's disease and that it is consequently able to drastically reduce the need of open surgery in this indication.

Eligibility

Inclusion Criteria:

* Age ≥ 18 years old
* Ascertained Dupuytren disease: palpable fibrotic nodule or cord developed from the palmar aponeurosis, flexion contracture of a metacarpophalangeal or proximal interphalangeal joint.
* Presence of at least one flexion contracture of a metacarpophalangeal joint of the hand due to Dupuytren's disease and \> or = 20°
* Written informed consent signed by the patient
* Patient affiliated to the social security

Exclusion Criteria:

* Presence of other musculoskeletal disorders of the hand than Dupuytren's disease: known inflammatory rheumatic disease of the hand, clinical signs of inflammatory rheumatic disease of the hand, MP or PIP pain at inclusion visit.
* Previous surgery of the hand to be treated resulting in functional limitation or limitation of finger mobility
* Any other pathological condition or limited range of motion in the finger to be treated
* Psychiatric status precluding patient evaluation; vulnerable persons; adults under legal protection order or incompetent, physically or mentally incapable of giving his consent.
* Pregnant or beastfeeding women
* Participation in another interventional trial

Conditions2

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