What is a Dupuytren’s Contracture?
Dupuytren’s contracture is a hand deformity that results in one or more fingers remaining in a bent position, unable to straighten. This contracture develops slowly over time and is caused by an abnormal buildup of collagen. Eventually, a thick cord of collagen forms in the palm. This cord pulls one or more of your fingers into a bent position. This inhibits you from straightening your fingers, which complicates activities of daily living.
Enzyme injections are available as a treatment option for Dupuytren’s contracture at MidAmerica Plastic Surgery. This option involves injecting an enzyme solution into the palmar cord in an attempt to weaken and soften the cord.
Surgery is also available for the treatment Dupuytren’s contracture. You are a good candidate for surgery at MidAmerica Plastic Surgery if you:
- suffer from Dupuytren’s contracture and other treatment options have not been successful.
- are a non-smoker.
- are a healthy individual without medical problems that impede healing.
Before the Dupuytren’s Contracture Surgery
- Get lab testing or a medical evaluation, as needed.
- Take certain medications or adjust your current medications, as recommended.
- Stop smoking well in advance of your surgery.
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding (if OK with your primary care physician. If you cannot stop please let us know).
- Get your pre- and post-surgery checklist.
The Day of the Dupuytren’s Contracture Surgery
- Completed as an outpatient or with hospital stay depending on your particular needs.
- Nothing to eat or drink the day of surgery.
- You will need someone to drive you home and stay with you for the first 24 hours.
After Dupuytren’s Contracture Surgery
Recovery is patient dependent.
Complications from Dupuytren’s Contracture Surgery
As with any procedure there are risks. Fortunately, with Dupuytren’s contracture surgery, these risks are minimal. These include but are not limited to:
- Bleeding (hematoma)
- Blood clots
- Anesthesia risks
- Unfavorable scarring
- Change in skin sensation
- Skin contour irregularities
- Skin discoloration/swelling
- Poor healing of incisions
- Unexpected hand swelling
- Allergies to tape, suture materials and glues, blood products, topical preparations or injected agents
- Deep vein thrombosis, cardiac and pulmonary complications
- Damage to deeper structures — such as nerves, blood vessels, muscles, and lungs — can occur and may be temporary or permanent
- Pain, which may persist
- Possibility of revisional surgery
Dr. Ryan Diederich is a board-certified plastic surgeon specializing in a range of aesthetic and reconstructive plastic surgery procedures at Mid-America Institute of Plastic & Cosmetic Surgery in Glen Carbon, IL. If you’re looking for a plastic surgeon east of St. Louis, you can schedule a consultation online schedule a consultation online, or call us at (618) 288-7855 to schedule an appointment.
*This article is intended as a guideline only. This is not intended as medical advice. There are no guarantees written or implied from the information presented here. Only a consultation can provide an appropriate evaluation and discussion regarding any procedure. Refer to your physician for medical decision making and advice.