Percutaneous needle fasciotomy versus limited fasciectomy in Dupuytren's disease

ISRCTN ISRCTN58554745
DOI https://doi.org/10.1186/ISRCTN58554745
Secondary identifying numbers 02.0107
Submission date
29/11/2010
Registration date
06/06/2011
Last edited
06/06/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Prof Paul Werker
Scientific

Hanzeplein 1
Groningen
9713 GZ
Netherlands

Study information

Study designSingle centre single blind randomised active controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details below to request a patient information sheet
Scientific titlePercutaneous needle fasciotomy versus limited fasciectomy in Dupuytren's disease: A randomised controlled clinical trial
Study hypothesisNow that the armentarium to treat Dupuytren’s Disease is increasing, there is a need for comparative studies. We study the 5-year follow-up results of our randomised controlled study that compared percutaneous needle fasciotomy (PNF) and limited fasciectomy (LF). Primary outcome parameters are results, complications and recurrences. Secondary outcome parameters are patient satisfaction and hand function.
Ethics approval(s)The Dutch Medical Ethics Committee approved in July 2002 (ref: 02.0107)
ConditionDupuytren's disease
InterventionPatients were randomised to one of the following treatments
1. Percutaneous needle fasciotomy
2. Limited fasciectomy
All patients were treated only once, within 1 month of inclusion. All were seen in the outpatient clinic 1 week, 6 weeks, 6 months and thereafter yearly until 5 years in the outpatient clinic and examined by a plastic surgeon.
Intervention typeOther
Primary outcome measure1. Treatment results: Total Passive Extension Deficit (degrees) assessed postoperatively at 1 week, 6 weeks, 6 months, and then yearly for 5 years
2. Recurrence: Recurrence was defined as an increase of total passive extension deficit of at least 30 degrees compared to the 6 weeks follow-up values in the area previously treated. At the time of registration patients suffering from recurrent disease and treated for recurrence, are still in follow-up.
Secondary outcome measures1. Flexion (Boyes, cm) assessed postoperatively at 1 week, 6 weeks, 6 months, and then yearly for 5 years
2. Sensibility (Semmes-Weinstein) assessed postoperatively at 1 week, 6 weeks, 6 months, and then yearly for 5 years
3. Complications assessed postoperatively at 1 week, 6 weeks, 6 months, and then yearly for 5 years
4. Satisfaction (scale) assessed by questionnaire at 1, 2, 3, 4, 5, 6 weeks, and 6 months, and thereafter yearly until 5 years
Overall study start date01/08/2002
Overall study end date01/01/2011

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants120 patients
Participant inclusion criteria1. Patients with Dupuytren’s disease presenting at the Department for Plastic, Reconstructive and Hand Surgery of the Isala Klinieken, Zwolle from August 2002
2. Total passive extension deficit of at least 30° in the metacarpophalangeal (MCP) joint, proximal interphalangeal (PIP) joint and/or distal interphalangeal (PIP) joint
3. Existence of a clearly defined palmar cord
4. Willingness to participate in this trial. Following counselling written consent was obtained from all patients that entered the study
Participant exclusion criteria1. Postsurgical recurrence or extension of the disease
2. Patients who were not allowed to stop their anticoagulants
3. Generally unfit for surgery
4. Patients with a specific treatment modality wish
Recruitment start date01/08/2002
Recruitment end date01/01/2011

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Hanzeplein 1
Groningen
9713 GZ
Netherlands

Sponsor information

University Medical Centre Groningen (UMCG) (Netherlands)
Hospital/treatment centre

Department of Plastic Surgery
Hanzeplein 1
Groningen
9713 GZ
Netherlands

ROR logo "ROR" https://ror.org/03cv38k47

Funders

Funder type

Hospital/treatment centre

University Medical Centre of Groningen (UMCG) (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2006 Yes No