RCTs are feasible to compare needle fasciotomy, limited fasciectomy for Dupuytren's contractures
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Large randomized controlled trials comparing the treatment of Dupuytren’s contractures by needle fasciotomy and limited fasciectomy are feasible, according to results of a recently published study.
The feasibility trial comprised of 71 adult patients referred for treatment of Dupuytren’s contractures of one or more fingers. Patients were randomly assigned (1:1) to treatment with either needle fasciotomy or limited fasciectomy and were followed for up to 6 months after treatment.
Based on trial results, researchers determined the RCT was a feasible method for comparing these procedures.
“Sixty-seven of these [patients] underwent their allocated treatment, two were crossovers from limited fasciectomy to needle fasciotomy, and two (both allocated limited fasciectomy) received no treatment. Fifty-nine participants (85%) completed 6-month follow-up [patient-reported outcome measures] PROMs,” the researchers wrote in their study.
They added, “Data from this study will help determine the number of sites and duration of recruitment required to complete an adequately powered RCT and will assist the selection of PROMs in future studies on the treatment of Dupuytren's contractures.”– by Max Wursta
Disclosures: The authors report no relevant financial disclosures.
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