This patient is one month after XIAFLEX treatments to the little finger PIP joint which had a 60 degree contracture. A top hand surgeon at a fine teaching institution had stated XIAFLEX would not work for a sole, severe PIP contracture and he would need pinning, the Digit Widget™ application, and then excisional surgery (fasciectomy). This patient chose the non-surgical alternative, XIAFLEX and had a very nice result.
The drug for these conditions is used in smaller doses, and more distal than the FDA recommends. The drug is made slightly more dilute, and spread more widely to achieve this actual result for PIP joint Dupuytren's.