Dupuytren’s contracture treatment
Dupuytren’s contracture is one of the most common disorders of the hand. The origin of this disorder remains unknown. Patients with Dupuytren’s disease develop abnormal nodules and cords of the palmar fascia; the fingers gradually bend into the palm that leads to the impaired function of the hand.
Aponeurotomy is the most effective method of treatment for Dupuytren’s contracture.
How Is the Surgery Performed?
The surgery is usually performed under local infiltration (the hand is numbed) or regional (the whole arm is numbed with an injection into the shoulder) anesthesia. A compressing device (tourniquet) is placed around the forearm to prevent bleeding at the site being treated.
An operative approach and extent of surgery are individually tailored by evaluating every case. During the surgery, the disease-affected segments of the palmar aponeuroses are removed, and this results in a joint release. If needed, an open wound is covered by a skin graft.
What Should Be Known After Surgery?
- Light motions of the hand can be performed already on the next day after the surgery, but active and routine motions are allowed only after 2-3 weeks, when the wounds heal completely.
- The wounds should be redressed every 2–3 days;
- The sutures are removed after 2 weeks, when the wound heals completely;
- The function of the hand is completely restored after 1 month;
- It is important to start exercises 2–3 weeks after the surgery, when the wound heals completely.