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Treatments

Dupuytren's disease is an inherited condition where scar-like tissue forms just beneath the skin of the fingers and the palm of the hand and causes it to thicken and become hard.

Eventually, over time, the fibrous tissue can contract and force one or more fingers to curl up into the palm; making it impossible to straighten the fingers. This is known as Dupuytren's Contracture.

Why you might need treatment for Dupuytren’s Contracture

Although the exact cause of Dupuytren’s Contracture is not known, the disease can be inherited. You will require treatment when the affected finger can no longer be fully extended as a result of scar tissue which has formed in the palm of the hand.

In most cases, this develops slowly over the course of a few years, although there have also been very rare instances where Dupuytren’s Contracture has developed rapidly. The disease is more common in males over the age of 50.

What are the benefits of treating Dupuytren’s Contracture?

Patients with Dupuytren’s Contracture will seek treatment when scar tissue is prohibiting full movement in the affected finger(s). 

Some of the benefits include:

  • Reduced recurrence of the condition
  • More functionality in fingers
  • The possibility of preventing progression of early stage Dupuytren’s Contracture

Case Studies

Case study: Graham Turner

Dupuytren’s Contracture

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What does Dupuytren’s Contracture treatment involve?

Your surgeon will make a range of small incisions cutting into the fibrous band in the palm of your hand.  This will allow the surgeon to then remove any affected skin and replace it with skin grafts where appropriate.

There are a variety of anaesthetic options available, and your surgeon and anesthetist will discuss this with you prior to surgery.

For patients who prefer not to have a surgical procedure then the surgeon may perform a needle aponeurotomy. The needle aponeurotomy is a minimally invasive procedure and allows the surgeon to use the tip of the needle to divide the contracted palmar fascia.

The benefit of this procedure is that the hand is not widely opened, so there is a smaller chance of scar tissue forming. It does, however, have a higher chance of the contracture coming back sooner when compared to tradition open surgery to the hand.

Recovery time

To enjoy a full range of movement in the hand following surgery, it can take up to six months with physiotherapy. Patients are usually able to go home the same day following surgery and can return to light activities immediately.  However, strenuous work and sports are not allowed for a week post operation. For those patients who have opted for a needle aponeurotomy, they may need to wear a splint at night time.

Treatment Cost

Treatment costs will vary according to your unique needs. The full pricing options will be discussed with you during your initial consultation.

We’d be delighted if you wanted to arrange a consultation with us. Please call the Helpline on 0800 917 4922 for free and professional advice or submit a contact form here for more information.

To make a fully informed decision, click this link for a guide on what to consider before deciding on anything.

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