Surgery For Dupuytren’s Contracture

Dupuytren’s contracture is a condition that causes one or more fingers to bend inward, often limiting hand function. The cause of this condition is the progressive thickening and tightening of the connective tissue in the palm, which is thought to be a result of genetics. Surgery is designed to address the symptoms associated with this concern, and restore normal functioning of the affected digit(s).

The surgical process commences with a thorough evaluation of the condition’s severity and impact on hand function. Mr Waseem Bhat employs techniques such as fasciotomy, where the surgeon makes small incisions to divide the contracted tissue bands, or fasciectomy, involving the removal of affected tissue. In some cases, a more extensive procedure called dermofasciectomy may be necessary, removing skin along with the diseased tissue. Skin grafts may be required. These surgeries are often performed under local, regional or general anaesthesia.

Post-surgery, patients may experience swelling, discomfort, and stiffness. Pain medication helps manage discomfort, and hand elevation aids in reducing swelling. Hand therapy is crucial for regaining flexibility and strength. A splint may be recommended to maintain proper hand positioning during healing.

Regular follow-ups with Mr Bhat and his team monitor progress, and hand therapy sessions may continue as needed. Adhering to postoperative instructions, including hand exercises and avoiding strenuous activities, is vital for optimal recovery. Surgery for Dupuytren’s contracture effectively corrects finger contractures, restoring hand function and improving the quality of life for individuals affected by this condition. Successful aftercare and rehabilitation play a pivotal role in achieving optimal outcomes and preventing recurrence.