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David Eckerdal Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden

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Hendrik Pakosta Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden

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Muhanned Ali Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden

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Isam Atroshi Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden

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morbidity associated with fasciectomy, less invasive techniques such as collagenase injection and percutaneous needle fasciotomy (PNF) have been increasingly used for treating DD ( 1 , 2 ). Both these methods have been shown to be safe with good short

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Rita Grazina Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Sérgio Teixeira Serviço de Cirurgia Plástica, Reconstrutiva e Estética e Unidade de Queimados, Centro Hospitalar de São João, Portugal

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Renato Ramos Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Henrique Sousa Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Andreia Ferreira Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Rui Lemos Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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discomfort when the flexion deformity is ≥ 15°. 36 Fig. 3. Metacarpophalangeal joint contracture > 30º, a surgical indication. Collagenase This treatment poses as an alternative to surgery which is still the standard of care for

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Ilse Degreef Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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Kira Vande Voorde Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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Maarten Van Nuffel Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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needle fasciotomy and collagenase injections have a faster recovery, but incomplete correction and recurrence are markedly more frequent than open surgery ( 5 ). Fasciectomy can be augmented with skin grafting in cases of incomplete skin closure or to

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