Studying Night Splint Use After Needle Treatment for Finger Contracture in Dupuytrens Disease

What this Trial Is About

Dupuytrens contracture is a condition causing progressive finger stiffness due to fibrosis in the palm and fingers. This trial investigates whether using a night splint after a minimally invasive procedure called percutaneous needle fasciotomy PNF reduces the chance of the contracture coming back. The study compares two groups of patients receiving PNF treatment to see if night splinting adds benefit beyond physical therapy alone. Participants are randomly assigned to one of two groups one group will receive usual care including physical therapy and night splinting for three months after PNF, while the other group will have physical therapy without night splinting. Those in the no splint group will have an additional check three weeks after PNF to monitor finger extension. Follow-up visits occur at 2 weeks, then 3, 12, and 36 months after treatment. During the study, patients will undergo physical exams assessing finger motion, sensation, and grip strength. They will also complete questionnaires about hand function, pain, and quality of life at several timepoints including the day of procedure and months 3, 12, and 36. The main outcome measured is reduction in finger joint contracture at 1 year. Researchers will also evaluate changes in finger flexion, grip strength, pain levels, disability, sensation, and medical history over the follow-up period.

Effectiveness of Night Splinting After Percutaneous Needle Fasciotomy in Dupuytren's Contracture