Dr. Koch is an excellent orthopedic hand surgeon and very professional! The little finger on my left hand was afflicted with Dupuytren's contracture where my little finger was curling toward the palm of my hand. I could not straighten my little finger, and it was very difficult using my hand. Dr. Koch performed a procedure on that pinkie finger using the XIAFLEX medicine/protocol with precision. She exceeded my expectations with her outstanding repair. I can straighten my finger and now have full use of my left hand. I am extremely pleased with the outcome thanks to Dr. Koch!