Reply: Percutaneous Aponeurotomy and Lipofilling (PALF) versus Limited Fasciectomy in Patients with Primary Dupuytren’s Contracture
As Könneker et al. also pointed out, in our single-blind, multicenter, randomized trial1 comparing the effectiveness of percutaneous aponeurotomy and lipofilling with limited fasciectomy, no significant differences in contracture correction between groups were detected. In addition, the patients in the percutaneous aponeurotomy and lipofilling group returned significantly earlier to their normal daily activity. At 1 year after surgery, no significant differences in recurrence rate and hand function were present. It is interesting and counterintuitive that in our recent discrete choice study patients preferred low recurrence rates and less extension deficit above the short convalescence.3 However, as stressed in the letter, for both the prospective cohort and the randomized controlled trial, no long-term follow-up data beyond 1 year are yet available. Therefore, long-term recurrence rates cannot be presented. In the near future, fortunately, we will be able to present the 5-year follow-up of the patients treated with percutaneous aponeurotomy and lipofilling and limited fasciectomy in our trial.