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Dupuytren’s Contracture

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What is Dupuytren’s contracture?

Dupuytren’s contracture, or palmar fibromatosis, is a condition that usually affects the hand. It causes the issue under the hand’s skin, called the palmar fascia, to thicken and knot together, resulting in one or more fingers to be gradually pulled into a flexed position. It is most commonly seen in males over age 50, and most commonly affects the ring finger and small finger. It can make shaking hands, writing, and other everyday manual activities difficult.

Treatments for Dupuytren’s Contracture of the Hand

The most common type of Dupuytren’s contracture surgery, palmar fasciectomy, is performed through incisions in the palm, with the goal of correcting genetic, progressive, permanent flexion of the fingers. In some cases, we can offer minimally invasive treatments, such as needle release (aponeurotomy) or enzyme injection (Xiaflex collagenase injection).

What is the goal of Dupuytren’s contracture surgery?

The surgery involves the release or removal of thick bands and/or nodules on the palmar surface of the fingers and hand, in order to correct:

  • Inability to straighten fingers
  • Painful lumps or thickenings on the palm

Dupuytren’s contracture surgery results

Dupuytren’s contracture surgery can restore normal position and full mobility to the fingers in most patients.

What to expect with Dupuytren’s contracture surgery
Dupuytren’s contracture surgery is performed using local anaesthesia. The surgeon makes a small incision in the palm of the hand and removes the tissue causing the fingers to bend.
Not correct: the incision is usually quite long, and the procedure often requires regional block or general anaesthesia; only very mild cases can be done under local.

Recovery after Dupuytren’s contracture surgery

Full functional recovery from palmar fasciectomy surgery usually takes between 4-6 weeks, with recovery from minimally invasive techniques in 2-4 weeks. During this period, the incision on the palm is cared for to allow healing. Finger exercises and splinting are usually performed to reduce stiffness and regain strength.

Get Dupuytren’s contracture surgery with Centric Health

Many men and women from across Canada and all over the world choose Centric Health Surgical Centres for Dupuytren’s contracture surgery. Our surgeons have years of experience and a commitment to excellence. Our modern facility and patient-centred philosophy will ensure you have a positive, rewarding experience.

Next steps: Book your Dupuytren’s contracture surgery consultation

If you are ready to discuss your Dupuytren’s contracture surgery needs with our surgeons, contact us to learn more and request a consultation today. To discover your health options your patient care coordinator will discuss:

  • Your medical history
  • Incision techniques
  • Potential risks and complications

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