PROCEDURES

DUPUYTRENS CONTRACTURES

What is Dupuytren's Contracture?

Dupuytren's contracture is a condition that affects the connective tissue in the palm of the hand, causing the fingers to bend inward, often making it difficult to straighten them. This condition is typically progressive, meaning it worsens over time and can severely limit hand function. It is most commonly seen in the ring and little fingers and can be triggered by genetic factors, trauma, or certain lifestyle factors.

What does treatment involve?

When Dupuytren's contracture progresses to the point where it interferes with daily activities, surgery may be recommended. Dr Heymans may perform a procedure to remove or release the thickened tissue that causes the fingers to bend. This surgery is typically done under local or general anaesthesia, depending on the severity of the condition. Dr Heymans will carefully remove the abnormal tissue, sometimes using a needle or blade, to restore movement and functionality to the fingers. In more advanced cases, a partial or complete fasciectomy may be required, where the affected tissue is excised. Post-surgery, a rehabilitation program will help regain strength and flexibility in the hand.

What can I expect in terms of recovery?

Recovery from Dupuytren's contracture surgery usually involves a period of hand therapy to restore function and prevent the recurrence of the contracture. You may need to wear a splint for a few weeks following surgery to support the hand and encourage proper healing. Pain and swelling are common but typically resolve within a few weeks. Full recovery and a return to normal hand function can take a few months, depending on the extent of the surgery and your adherence to rehabilitation.