The Pennine Acute Hospitals
NHS Trust Formulary
 
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10 Musculoskeletal and joint diseases
10-03-01 Enzymes

Collagenase Xiapex®
Formulary
Intralesional injection

Individual funding request is NOT required when used for Dupytren's contracture that is moderate in nature. Defined as:

  • Notable functional problems,
    AND one of the following:
  • Moderate metacarpo-phalangeal joint contracture (30 60)
    OR
  • Moderate proximal inter-phalangeal joint contracture (<30)
    OR
    First web contracture.

    For all other indications (e.g. Frozen Shoulder / Peyronie's Disease / any other use / non-moderate Dupytren's) an individual funding request is required.

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    Hyaluronidase
    Formulary
    Injection

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