Effectiveness and safety of collagenase Clostridium histolyticum in Dupuytren's disease : an observational study in Belgium

Acta Orthop Belg. 2016 Aug;82(2):397-404.

Abstract

Dupuytren's disease is a connective tissue disorder leading to contractures. It can be treated surgically or through injections of collagenase Clostridium histolyticum (CCH). Patients with Dupuytren's contracture (> 20°) and a palpable cord were included in this observational study, aiming to characterise the Belgian patient population and to assess the effectiveness and safety of CCH. Overall, 108 patients (114 joints) received at least one injection of CCH, and 104 patients completed the study. The percentages of joints achieving a degree of contracture of 5° or less, or a relative contracture reduction of at least 50% after the extension procedure were 64.9% and 90.1%, respectively. The mean number of injections per cord was 1.0. The Unité Rhumatologique des Affections de la Main score decreased from 29.4 ± 11.0 to 12.9 ± 6.3 (mean ± SD ; p < 0.0001). CCH was demonstrated to be effective, safe and able to increase quality of life.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Belgium
  • Dupuytren Contracture / drug therapy*
  • Female
  • Humans
  • Injections, Intralesional
  • Male
  • Microbial Collagenase / administration & dosage
  • Microbial Collagenase / adverse effects
  • Microbial Collagenase / therapeutic use*
  • Middle Aged
  • Quality of Life
  • Treatment Outcome
  • Young Adult

Substances

  • Microbial Collagenase