[Treatment of Dupuytren's disease; limited fasciectomy versus percutaneous needle fasciotomy]. / Behandeling van de ziekte van Dupuytren.

ABSTRACT

OBJECTIVE: We estimated retreatment risk following limited fasciectomy (LF) or percutaneous needle fasciotomy (PNF) for Dupuytren's disease. DESIGN: Prospective cohort study. METHOD: Using frailty models, we estimated retreatment risk within 1,3,5,10 and 20 years. RESULTS: LF showed a 10-year retreatment risk of 8% (95%CI 3-13%) for men and 4% (95%CI 1-8%) for women without an affected first-degree relative, initially treated at 60 years. PNF showed higher risks at 69% (95%CI 52-86%) and 46% (95%CI 16-77%). Younger age at initial treatment increased retreatment risk, sex and first-degree relative had no influence. CONCLUSION: LF gives a longer-lasting treatment effect than PNF.