Dupuytren’s contracture

Dupuytren's contracture is a condition that affects the connective tissue under the skin of the palm and fingers, causing the fingers to bend towards the palm and making it difficult to straighten them.

This condition is often progressive and can significantly impact hand function and quality of life. Dupuytren's surgery, also known as fasciectomy or fasciotomy, is performed to correct this deformity and restore hand function.

Procedure overview

Type of anaesthetic

  • Local or General

Length of operation

  • 30 minutes to 2 hours

Length of hospital stay

  • Same day discharge

Recovery period

  • 1-2 weeks off work

  • 6 weeks before strenuous exercise

What you need to know

Suitability

Dupuytren’s contracture surgery is suitable for individuals who experience significant finger bending that interferes with daily activities or causes discomfort.

Dupuytren's treatment is typically recommended for individuals who have fingers that are significantly bent and cannot be straightened, interfering with daily activities, and who seek to improve hand function and quality of life by restoring finger extension.

Long-Term Outcomes

The long-term outcomes of Dupuytren’s contracture surgery are generally positive, with most patients experiencing improved hand function and a significant reduction in contracture. However, there is a risk of recurrence, particularly in severe cases.

Regular follow-ups with your hand surgeon and adherence to rehabilitation exercises can help maintain the benefits of the surgery and reduce the likelihood of recurrence.

Procedure details

Dupuytren’s contracture surgery can be performed using several techniques, depending on the severity of the condition and the specific needs of the patient:

  • Fasciotomy: Involves making small incisions in the palm and affected fingers to release the tightened cords of tissue. This procedure is less invasive and can be done under local anesthesia.

  • Subtotal Palmar Fasciectomy: Involves the surgical removal of the thickened tissue bands. This method may require longer incisions and is typically performed under regional or general anesthesia.

  • Dermofasciectomy: Involves the removal of both the diseased tissue and the overlying skin, followed by a skin graft. This is usually recommended for severe cases or recurrent contractures.

The choice of technique will depend on the extent of the contracture and the patient's overall health. The surgery usually takes about 1 to 2 hours.

Severity of Dupuytren's contracture

Dupuytren's contracture varies in severity, ranging from mild cases with minimal impact on hand function to severe cases where the fingers are significantly bent towards the palm, restricting movement and daily activities. In its early stages, the condition may present as small lumps or nodules in the palm, which can progress to thickened bands of tissue that cause the fingers to contract.

Severe cases can lead to considerable functional impairment, making it difficult to perform tasks such as gripping, holding objects, or shaking hands. Early intervention and appropriate treatment are crucial to manage symptoms and prevent further progression of the condition.

Recovery

Recovery from Dupuytren’s contracture surgery varies depending on the technique used. Patients can expect some swelling, bruising, and discomfort in the hand, which can be managed with pain medications and ice packs.

Physical therapy is often recommended to restore strength and flexibility to the hand. Most individuals can resume light activities within a week but should avoid strenuous activities and heavy lifting for several weeks. Following your surgeon’s post-operative care instructions is crucial for optimal healing and results.

Potential complications

As with any surgical procedure, Dupuytren’s contracture surgery carries certain risks, including infection, bleeding, and adverse reactions to anesthesia.

Specific complications might include nerve or blood vessel damage, stiffness, and recurrence of the contracture.

Mrs Teo will discuss all possible risks and complications during your consultation to ensure you make an informed decision.

1.png
2.png
3.png
4.png
6.png
Add a subheading.png

 FAQs

  • Dupuytren's contracture surgery, also known as a fasciectomy or fasciotomy, is a procedure to remove or release the thickened tissue in the palm and fingers that causes the fingers to bend towards the palm. The goal is to restore normal finger function and improve hand movement.

  • Candidates for Dupuytren's surgery typically include individuals with significant finger contracture that interferes with daily activities, those who have not responded to non-surgical treatments, and individuals seeking to improve hand function and quality of life.

  • The surgery typically takes about 30 minutes to 2 hours, depending on the technique used and the severity of the condition. Ms Teo will provide a more accurate timeframe during your consultation.

  • Dupuytren's surgery is generally effective in improving hand function and reducing contracture. However, the condition can recur, and additional treatment may be necessary in some cases.

  • Yes, wearing a hand splint is often recommended for 6 to 12 weeks post-surgery to maintain finger extension and support the healing process.

  • Dupuytren's surgery is typically covered by health insurance, especially if it is deemed medically necessary due to severe symptoms or functional impairment. Check with your insurance provider for specific coverage details.

Book a Consultation Today

Take the first step of your cosmetic surgery journey by booking a personalised consultation with Isabel, where you can ask detailed questions, discuss your specific goals, and receive expert guidance tailored to your unique needs.