This clinical trial is focused on studying the effectiveness of different treatments for Dupuytren’s contracture, a condition where the fingers bend towards the palm and cannot be fully straightened. The study will compare three treatment methods: collagenase clostridium histolyticum (a medication that helps break down the tough tissue causing the contracture), percutaneous needle fasciotomy (a procedure where a needle is used to cut the cord of tissue causing the contracture), and limited fasciectomy (a surgical procedure to remove the affected tissue).
The purpose of the study is to determine which treatment strategy is the most effective and cost-efficient over a five-year period. Participants will be randomly assigned to one of the three treatment groups. Some participants will receive the collagenase injection, while others will undergo the needle procedure or surgery. The study will follow participants to see how well each treatment works in the short and long term.
Throughout the study, participants will be monitored to assess the success of the treatment they receive. The study aims to provide valuable information on the best approach to managing Dupuytren’s contracture, helping to improve treatment options for this condition in the future.



Finland