Dupuytren Contracture
Conditions
Keywords
Collagenase, Night-splinting, Dupuytrens, Contracture
Brief summary
The BOND study is a prospective, randomised single blinded controlled trial to assess the effect of night splinting in patients who have had collagenase injection and manipulation therapy for Dupuytren's Contracture.
Detailed description
This trial will assess the effectiveness of night splinting in Dupuytrens' contracture on functional and quality of life outcomes.
Interventions
Thermoplastic Night splint created and moulded to the individual patients hand in-house using generic thermoplastic.
Sponsors
Study design
Masking description
Initial heath-care provider and participant are not masked as would be impossible to do so. Outcome assessor (a different health care provider) and investigators will be masked as to whether the patient is in the splinted or unsplinted cohort.
Intervention model description
Randomised Controlled Trial - Block Randomisation
Eligibility
Inclusion criteria
1. Single digit contractures greater than 30 degrees 2. No prior surgery for their contractures. 3. Successful collagenase and manipulation therapy (contracture reduced to within 10 degrees of full extension).
Exclusion criteria
1. Multiple digit contractures 2. Prior surgery for their contractures. 3. Failure of collagenase and manipulation therapy (contracture not reduced to within 10 degrees of full extension). 4. Inability to consent to treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Range of motion | At 0 weeks, 12 weeks and 52 weeks | To assess change in range of motion measured in degrees between pre-treatment, immediately post-treatment, 12 weeks post-treatment and 12 months post-treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PEM Questionnaire | At 0 weeks, 12 weeks and 52 weeks | Patient Evaluation Measure to give disability score |
| URAM Questionnaire | At 0 weeks, 12 weeks and 52 weeks | Hand specific outcome questionnaire to assess quality of life outcomes |
Countries
United Kingdom