112. Utilizing a Flexible Pressure Grid to Quantify, Map, and Track Hand Grip Strength

Abstract

PURPOSE:Dupuytren's disease (DD) is one of the most common disorders of the hand, affecting 5.7-11.7% of the global population. This study seeks to evaluate the longterm efficacy of the two most prominent treatment modalities, injectable collagenase Clostridium histolyticum versus open fasciectomy. We hypothesize that those who had an open fasciectomy to treat their contracture will have significantly less recurrence, greater degree of deformity improvement, and fewer procedural interventions in the long-term. METHODS:We conducted a retrospective review of all electronic medical records of patients who underwent open fasciectomy or collagenase injection to treat their persistent Dupuytren's contracture between April 2011 and April 2021. All procedures were performed by one of five senior surgeons at the same Veterans Affairs Hospital hand surgical center. Therapeutic administration and documentation for both fasciectomy and collagenase injection patients were managed by a single licensed hand therapist.