Dupuytren’s contracture is a condition that affects the hand’s connective tissue (fascia), causing it to thicken and harden, resulting in the inability to straighten the last two fingers of the hand. Fortunately, treatment options are available to those suffering from Dupuytren’s contracture, such as needle aponeurotomy and Xiaflex.
In this article, we will discuss the differences between these two treatments and which one may be preferable for certain patients.
Table of contents
What is Needle Aponeurotomy and Xiaflex?
Needle Aponeurotomy and Xiaflex are two treatments used to treat Dupuytren’s contracture, a condition characterized by thickened cords in the hand that can cause the fingers to contract and bend.
Needle Aponeurotomy (NA) is a procedure that involves inserting a needle into the thickened cord and using it to break it down. This allows the contracted fingers to straighten again.
Xiaflex is a medication injected into the thickened cords and works by breaking down the collagen causing the contracture. Both Needle Aponeurotomy and Xiaflex are effective treatments for Dupuytren’s contracture, but Xiaflex is generally considered the more successful.
It is important to note, however, that both treatments carry certain risks and should only be used under the guidance of a qualified medical professional.
Needle Aponeurotomy vs Xiaflex – Which is better treatment?
Needle Aponeurotomy (NA) and Xiaflex (XF) are two treatments for Dupuytren’s contracture, which causes the fingers to curl into the palm. Although both treatments can effectively relieve the symptoms of Dupuytren’s contracture, there are some critical differences between them. Here is a comparison list of Needle Aponeurotomy vs Xiaflex :
| Needle Aponeurotomy | Xiaflex |
|---|---|
| Needle Aponeurotomy is a minimally invasive procedure that uses a needle to break up the bands of connective tissue that cause the contracture. | Xiaflex is an injection of collagenase, an enzyme that dissolves the bands. |
| Needle Aponeurotomy typically requires only one treatment and has a lower risk of complications. | Xiaflex may require multiple treatments, with a higher risk of side effects. |
| Needle Aponeurotomy can treat mild to moderate cases of Dupuytren’s contracture. | Xiaflex is more effective for more severe cases. |
| Needle Aponeurotomy is generally cheaper than Xiaflex. | Xiaflex is more expensive. |
Both treatments can effectively relieve the symptoms of Dupuytren’s contracture, although Needle Aponeurotomy may be the preferred option for milder cases.
How Much Does Each Treatment Cost?
Needle aponeurotomy and Xiaflex are both treatments for Dupuytren’s contracture, a condition in which the tissue in the palm contracts and causes fingers to become permanently bent.
Needle aponeurotomy is a minimally-invasive procedure that involves making tiny incisions in the skin and inserting needles to rupture the abnormal bands of tissue. Xiaflex is an injectable medication used to break the bands of tissue and loosen the contracted fingers.
Regarding cost comparison, Xiaflex is generally more expensive than needle aponeurotomy. The cost of Xiaflex can range from $3,500 to $4,500, while needle aponeurotomy typically costs $1,500 to $2,500.
Of course, cost should not be the only factor when choosing a treatment, as the effectiveness of the two treatments will vary from person to person. Speaking to a healthcare professional to determine which treatment is best for you is important.
Which Treatment is More Effective?
Needle aponeurotomy and Xiaflex are two treatments for Dupuytren’s contracture, in which the fingers become permanently bent. Studies have shown that both treatments are effective in treating the condition, but there are some key differences in their efficacy.
Needle aponeurotomy is a minimally invasive procedure that involves inserting a needle into the tight cord of tissue between the skin and the tendon.
This procedure is generally considered less effective than Xiaflex, as it can require multiple sessions and is not as successful at restoring finger function. Xiaflex, on the other hand, is an injectable enzyme that works by breaking down the tight cord of tissue and releasing the finger.
This procedure is generally more effective at restoring finger function, although it is more expensive and invasive than needle aponeurotomy. Ultimately, treatment choice should be based on the patient’s circumstances.
Conclusion
Ultimately, the decision between Needle Aponeurotomy and Xiaflex as a treatment for Dupuytren’s Contracture depends on the patient’s needs. Needle Aponeurotomy is a less invasive procedure with a lower risk of complications, while Xiaflex is more effective at reducing contracture and offers longer-lasting results.
Patients uncomfortable with injections or surgery may prefer Needle Aponeurotomy, while those who want a more durable solution may opt for Xiaflex. Ultimately, it is best to consult your doctor to decide which treatment is proper.
