Effect of Delayed Finger Extension on the Efficacy and Safety of Collagenase Clostridium Histolyticum Treatment for Dupuytren Contracture

 

MP joints

Clinical success

PIP joints

Clinical success
 
N

n (%)

N

n (%)

24 h after CCH injection

325

213 (66)

211

62 (29)

48 h after CCH injection

377

237 (63)

219

70 (32)

≥72 h after CCH injection

194

129 (65)

122

26 (21)


Clinical success defined as FFC ≤5° within 30 days after CCH injection

CCH collagenase clostridium histolyticum, MP metacarpophalangeal, PIP proximal interphalangeal



Treatment-related AEs (Table 16.2) were common, but most were mild (42 %) or moderate (48 %) in severity. There was no difference in the incidence of treatment-related AEs between the three finger extension groups. The rate of lacerations was 22 % (160/715) but appeared lower when finger extension was performed at 72 h than at 24 or 48 h


Table 16.2
Most common treatment-related adverse events (TRAE)


















































































Adverse event, n (%)

Safety population (n = 715 patients)

24 h (n = 268 joint pairs)

48 h (n = 299 joint pairs)

≥72 h (n = 158 joint pairs)

≥1 TRAE

680 (95)

251 (94)

292 (98)

147 (93)

Peripheral edema

552 (77)

188 (70)

255 (85)

117 (74)

Contusion

419 (59)

125 (47)

194 (65)

108 (68)

Pain in extremity

361 (50)

119 (44)

171 (57)

76 (48)

Laceration

160 (22)

65 (24)

68 (23)

27 (17)

Pruritus

106 (15)

39 (15)

61 (20)

8 (5)

Injection site pain

101 (14)

49 (18)

41 (14)

11 (7)

Lymphadenopathy

93 (13)

33 (12)

46 (15)

17 (11)

Blood blister

89 (12)

36 (13)

42 (14)

11 (7)

Injection site hematoma

59 (8)

19 (7)

23 (8)

17 (11)

Axillary pain

51 (7)

21 (8)

23 (8)

8 (5)

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Oct 4, 2017 | Posted by in ORTHOPEDIC | Comments Off on Effect of Delayed Finger Extension on the Efficacy and Safety of Collagenase Clostridium Histolyticum Treatment for Dupuytren Contracture

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