Dupuytren's Contracture
What is Dupuytren's Contracture of the hand?
Dupuytren's Contracture is a condition characterized by abnormal thickening of the tissue beneath the skin of the palm, causing the fingers to bend toward the palm and making it impossible to fully straighten one or more fingers. This condition most commonly affects the palm, ring finger, and little finger. The goal of surgical treatment for Dupuytren's Contracture is to release the contracture and restore proper hand function.
How is Dupuytren's Contracture of the hand diagnosed?
The diagnosis is made based on the clinical presentation during an examination by a plastic surgery specialist, and in most cases, no additional diagnostic procedures are necessary.
Who are the candidates?
The condition occurs more frequently in men, usually after the age of forty, and is considered to have a hereditary component, although the exact cause remains unknown. Ideal candidates for the procedure are those experiencing functional limitations due to thickened tissue bands or those who can no longer fully extend their fingers. Early intervention is crucial for optimal outcomes. The duration of the condition and the extent of hand involvement will influence both the length of recovery and the final treatment outcome.
How to prepare for the procedure?
There are several surgical methods for treating Dupuytren's Contracture, and the specific approach is chosen individually for each patient, depending on the extent of hand involvement and the progression of the condition. In consultation with the patient, the surgeon will recommend the most appropriate treatment method. A properly selected surgical approach will correct the deformity and restore full hand function. It is important to avoid taking blood-thinning medications (such as Aspirin) two to three days before and after the surgery.
What does the procedure involve?
This procedure is performed under local anesthesia and with a bloodless (tourniquet) technique. Depending on the involvement of the fingers and the palm, the surgery lasts between 30 minutes and 1.5 hours. Through specific incisions on the palm, the affected tissue structures are carefully accessed and precisely removed until full or partial extension of the affected finger(s) is restored, if possible. The skin is then sutured, and the hand is wrapped with bandages and elevated. At the next follow-up visit, the dressing is reduced, and finger movement is encouraged. Detailed information about the procedure will be provided during your consultation at our Center for Plastic, Reconstructive and Aesthetic Surgery.
What does recovery look like and how long does it take?
After the procedure, the patient can go home the same day. The surgeon will provide instructions for finger movement exercises and schedule a follow-up appointment. Stitches are usually removed 7 to 10 days after the procedure, and 10 to 15 days after suture removal, physical therapy is required. Proper postoperative rehabilitation is essential for achieving good outcomes. Recovery may take anywhere from a few weeks to several months, and complications from the procedure are rare.
