Recurrent Dupuytren Contracture: Comparing Surgical Fasciectomy and Collagenase Injection for Optimal Management

Highlight

• In recurrent Dupuytren contracture, surgical fasciectomy and collagenase injection yield comparable improvements in finger extension over 2 years.
• Re-recurrence rates were higher but not statistically different following collagenase injection compared to surgery.
• Surgical fasciectomy is associated with more severe adverse events, including nerve and artery injuries.
• Quality of life as measured by QuickDASH worsened transiently only in the surgical group early post-treatment.

Study Background