Percutaneous Aponeurotomy and Lipofilling versus Limited Fasciectomy for Dupuytren’s Contracture: 5-Year Results from a Randomized Clinical Trial

What is it about?

In the DuRo randomized controlled trial, minimal invasive percutaneous aponeurotomy with lipografting (PALF) was as effective as limited fasciectomy (LF) in correcting primary Dupuytren’s contracture after 1-year. In this study, we report the 5-year results of this trial, especially focusing on recurrence of contractures. We previously reported that PALF offers a shorter convalescence, fewer long-term complications but a similar degree of contracture correction at one year follow-up. At 5 years, however, the corrections were less durable for PALF than for LF, as expressed in a larger recurrence rate (74% vs. 39%).

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