What is Dupuytren's contracture surgery?

During Dupuytren's contracture surgery, the surgeon makes a cut (incision) in your hand and takes out the thickened tissue. This can improve the mobility of your fingers. Some people have contractures return. They may need surgery again.

How painful is Dupuytren's surgery?

Your hand and fingers may be swollen for the first few days. Most people need pain medicine for about a week after surgery. You may feel numbness or tingling near the cut, called an incision, that the doctor made. This feeling will probably start to get better in a few days, but it may take several months to go away.

How is Dupuytren's contracture surgery done?

The doctor will make a cut, called an incision, in the skin of your palm. He or she will remove the thickened fascia. The doctor will close the incision in your palm with stitches. After surgery, you will have a scar on your palm and on one or more fingers.

When is surgery recommended for Dupuytren's contracture?

Surgery for Dupuytren contracture generally should be performed on an affected metacarpophalangeal (MCP) joint if the contracture is 30° or greater. Such contractures most likely cause some debilitation for the patient.

Is Dupuytren's surgery successful?

Overall, surgery for Dupuytren's disease in the NHS is effective and safe with low complication rates. Within 90 days of surgery: less than one in 100 (0.8%) patients experienced serious systemic complications. one in 100 (1.2%) of patients experienced serious local complications.

5. Dupuytren's Contracture

Are you put to sleep for Dupuytren's surgery?

Digital and palmar fasciectomy for Dupuytren's disease is a common procedure performed by plastic surgeons. Historically, surgery has been done in the main operating room under general anesthesia, using a tourniquet. Two main factors have made it difficult for surgeons to perform this surgery under local anesthesia.

Does Dupuytren's come back after surgery?

Recovery can take several months. Most people can move their fingers better after Dupuytren's contracture surgery, but the condition comes back in about one in five people who have the procedure.

What happens if you don't treat Dupuytren's contracture?

But a more likely scenario if you don't treat Dupuytren's is that over time your hand will develop hard chord-like formations that pull on your ring or pinky fingers, pulling them into a stuck position. If this goes untreated, it can make simple tasks involving your hand very difficult.

What happens if Dupuytren's contracture is left untreated?

If left untreated, Dupuytren's contracture can be debilitating. As the condition progresses, it can limit your ability to open your hand fully, grasp small objects, or insert your hands in narrow spaces.

How long is rehab after Dupuytren's surgery?

In many cases, this surgery successfully eliminates Dupuytren's contracture. Results usually are long-lasting, and the rate of recurrence is low. Recovery after the surgery, however, may take three months or more, and involves extensive physical therapy to regain use of the fingers and hand.

How long does it take to make a fist after Dupuytren's operation?

After Dupuytren's surgery to straighten out your fingers, the toughest part is regaining finger flexion and the ability to make a tight fist. Most patients have good grip at one month but recovery may take 1-3 months for full finger flexion and strong grip with the hand.

How serious is Dupuytren's contracture?

The condition is not dangerous. Many people don't get treatment. But treatment for Dupuytren's contracture can slow the disease or help ease your symptoms.

Is Dupuytren's a form of arthritis?

Dupuytren's contracture: This form of arthritis causes the tissue beneath the hand to develop nodules in the fingers and palms. These lumps can cause the fingers to stick in place.

Can you drive after Dupuytren's surgery?

By 2 weeks post surgery you should be able to use your hand for most normal day to day tasks. You are able to drive as soon as pain allows and you are safe to control the vehicle.

Can Dupuytren's go away?

Unfortunately, there is no cure for Dupuytren's Contracture, but there are some treatments a hand specialist can recommend and perform to break apart the cords of tissue that have formed, which pull the finger to a bent position.

Where did Dupuytren's contracture come from?

It is defined by Dorland as shortening, thickening, and fibrosis of the palmar fascia producing a flexion deformity of a finger. Tradition has it that the disease originated with the Vikings, who spread it throughout Northern Europe and beyond as they traveled and intermarried.

What is the latest treatment for Dupuytren's contracture?

XIAFLEX® is the only FDA-approved treatment for Dupuytren's contracture that does not require surgery. A hand specialist will inject this enzyme treatment directly into the cord that's causing limited mobility in the finger. The enzyme releases the cord.

What aggravates Dupuytren's?

Smoking and drinking.

Both alcohol and smoking are frequently mentioned as risk factors for Dupuytren's contracture. “The evidence for smoking is stronger than for drinking, and it makes sense because smoking, like diabetes, decreases blood supply to the hand,” Evans says.

What diseases are associated with Dupuytren's contracture?

Dupuytren disease is a genetic disorder that often is inherited in an autosomal dominant fashion, but is most frequently seen with a multifactorial etiology. It is associated with diabetes, seizure disorders, smoking, alcoholism, HIV, and vascular disease.

Does Dupuytren's affect other parts of the body?

However, Dupuytren's can be associated with conditions that cause contractures in other areas of the body, including the: Knuckle pads (Garrod knuckle pads) Soles of the feet (Ledderhose disease) Penis (Peyronie's disease)

Does injections work for Dupuytren's contracture?

Dupuytren's Treatment: CCH Collagenase Injection

These enzymes break down the collagen buildup in the hand that causes lumps and chords in Dupuytren's. Xiaflex is the only CCH injection on the market. It shows low recurrence rates of Dupuytren's contracture and often provides fast, effective results.

Can Dupuytren's contracture lead to amputation?

Dupuytren's disease (DD) can lead to severe disabling finger contractures resistant to surgical treatment. In some cases, finger or ray amputation is considered, due to a severe functional deficit or vascular injury.

Does Dupuytren's contracture shorten your life?

Overall, patients with Dupuytren's disease had a significantly increased mortality of 22%. The mortality was highest among those with onset of disease before the age of 60. In this age group men with Dupuytren's disease had 70% higher mortality than that of the control group.

Is Dupuytren's cancerous?

Despite being benign, Dupuytren's disease shares many clinical and cell biological features with cancer, namely, increased cell proliferation, formation of tumor-like nodules, and the propensity to local recurrence after excision.

Is Dupuytren's an autoimmune disease?

In terms of the immunological features of DD, evidence has persistently suggested the involvement of both T and B lymphocytes in DD etiology [7, 38]. As such, the disease has frequently been termed a “T-cell-mediated autoimmune disorder” [6].