No Difference = Clear Choice for Patients With Single-digit Dupuytren Contractures
A nice meta-analysis points the way to a safer, less-expensive choice.
What’s the Claim?
A well-designed meta-analysis of RCTs at a minimum follow-up of three years after treatment found no differences between needle fasciotomy and collagenase treatment plus manipulation for single-digit Dupuytren contractures in terms of:
- Risk of contracture recurrence
- Fixed flexion contractures
- Patient-reported outcomes scores
But sometimes, “no-difference” doesn’t mean “the same as.” Here, we think there are reasonably compelling reasons to choose one over the other.
