Table 2.
Percutaneous needle fasciotomy | Fasciotomy | Fasciectomy | Dermofasciectomy |
---|---|---|---|
Aged >70 years | Aged > 70 years | PIP flexion >45° | Patient presenting with recurrence |
MCP flexion <20° | Patient’s job/way of life requires manual dexterity | MCP flexion >45° | PIP flexion >45° |
Patient request based on aesthetic reasons | Patient request based on impairment of activities of daily living | Patient presenting with recurrence | MCP flexion >45° |
Patient comorbidities or risk factors | High expectations of success following surgical procedure | Speed of progression of disease over time | Speed of progression of disease over time |
Patient request based on impairment of activities of daily living | MCP flexion >45° | High expectations of success following surgical procedure | High expectations of success following surgical procedure |
PIP flexion <20° | Family history of DD | Patient’s job/way of life requires manual dexterity | Family history of DD |
DD Dupuytren’s disease, MCP metacarpophalangeal, PIP proximal interphalangeal
aFactors influencing intention to use a procedure were rated from 1 (“strongly decreases”) to 7 (“strongly increases”) intention to use each procedure type; factors are presented in decreasing order of importance