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At a willingness-to-pay threshold of $100 000 per quality-adjusted life-year (QALY), 3 percutaneous needle aponeurotomy (PNA) treatments (PNA-PNA-PNA) had a 41% and 52% chance of being the most cost-effective treatment combination compared with the remaining 26 treatment sequences in low-severity and high-severity MCP joint contractures, respectively. LF indicates limited fasciectomy.
