Treatment of Dupuytren's contraction
Dupuytren’s contraction is a benign disease of the connective tissue in the palm of the hand. It occurs mostly on the hand, but sometimes also on the foot, and occasionally on the penis. Even today, the cause is not entirely clear, but the condition is often genetic.
At the outset, Dupuytren’s disease becomes noticeable by the formation of hard strands or nodal mutations, mostly in the palm of the hand. At later stages, an extensional inhibition or flexion contracture of the fingers can be observed. Most frequently it is the little finger and the ring finger that are affected, but in principle this clinical picture can also occur on other fingers, including the thumb.
There are many forms of conservative treatment for Dupuytren’s contraction, but they are often of questionable benefit and the side effects they cause are in some cases very considerable. In advanced stages – especially with rapid deterioration and loss of traction on one joint or on multiple joints of the same finger – surgical intervention or operative treatment of Dupuytren’s disease is therefore recommended. These surgical measures aim to sever troublesome strands or remove diseased tissue, so as to make it possible to extend the diseased finger(s) again and prevent the disease from recurring.
Early intervention in the form of surgical treatment of Dupuytren’s disease should be avoided, since relapses and repeated interventions must be expected and repeated interventions can be technically problematic. However, if surgical treatment of Dupuytren’s disease is carried out too late, the shortening of the various tissues that has occurred may no longer be able to be fully compensated for.
At a consultation, we can provide you with detailed advice on this. Together, we can select the best option.
DURATION OF OPERATION: depending on difficulty, approx. 60 minutes or longer
ANAESTHETIC: optionally, short anaesthetic or brachial plexus anaesthetic
HOSPITALISATION: usually out-patient
AFTER-TREATMENT: suture removal after 10 – 12 days
PRESENTABILITY, RETURN TO WORK: as from approx. 14 days
SPORT: after complete healing
Ask our advice.
We’ll be glad to provide you with detailed information about this treatment. Simply get in touch with us now and obtain advice at an individual and absolutely personal level.
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