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J Plast Surg Hand Surg ; 50(5): 251-61, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27050718

ABSTRACT

OBJECTIVE: This study aims to provide a comprehensive review of the role of Collagenase Clostridium histolyticum (CCH). METHODS: This review is based on a literature review and practical experience. RESULTS: This review provides practical management strategies for using collagenase by sharing clinical experiences over the past few years; logistical aspects of in-clinic treatment, lessons learned, and novel approaches to correct traditionally hard-to-treat contractures are discussed. In addition a brief, yet comprehensive overview is provided on the pathophysiology of the disease, the mechanism of collagenase action and results of clinical studies. CONCLUSION: CCH has an evolving role as one of the tools available for treating Dupuytren's disease.


Subject(s)
Dupuytren Contracture/drug therapy , Microbial Collagenase/therapeutic use , Clinical Trials as Topic , Comorbidity , Dose-Response Relationship, Drug , Exercise Therapy , Humans , Injections, Intralesional , Recurrence , Splints
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