Dupuytren’s disease or contracture is a hand connective tissue disease, when small hard nodules develop under the hand skin. Over time the nodules increase, the hand or fingers contract, and the fingers become immobile.
Surgery is necessary if the person with a contracted hand or fingers cannot place a straightened hand on the table with the nails pointing upwards, or if the nodules are painful. During hand surgery the nodes and ligaments of scar tissue are extracted, and sometimes the capsules of finger joints are divided to restore finger movements.
It is important to see a doctor in due time if the feeling of a contracted hand and fingers occurs, because treatment results depend on the disease intervention stage, as well as hand therapy following the surgery.
Duration of the surgery: on average 1 to 1.5 hours.
Anaesthesia: local or general.
Treatment: in an out-patient setting.
Convalescence: following surgery local discomfort and pain may occur, which is well controlled with analgesic tablets. Wounds heal in 2 weeks. Wounds should be dressed 2 to 3 times a week. After two weeks the skin sutures are removed. In the case of a severe disease with severely affected skin above the nodes, the wounds can take longer to heal, but it usually does not cause any problems. In parallel, during the post-operative period, ergotherapy and movement training in the fingers and hand is necessary to restore full movement in the hand.
Result: if the surgery is performed in the early stages of the disease, the patient regains complete function of the fingers and hand.
Dupuytren`s contracture - from 580 EUR