Dupuytren S Contracture Surgery
When dupuytren s contracture pulls the fingers into the palm of the hand the skin can also tighten and contract. Surgery has long been the most common form of treatment for dupuytren s contracture.
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7 there are many variations to how surgery can be done and how extensive it needs to be.
Dupuytren s contracture surgery. When surgery is performed an incision is typically made directly on top of the area of dupuytren s the abnormal tissue is removed and the incisions are sutured closed. The most common successful treatment for dupuytren s has been surgery. Surgery is indicated for severe cases of tissue contracture the mainstay surgical method for treatment of this condition is called dupuytren s fasciectomy.
4 in addition the skin becomes much less supple and flexible. Surgery is usually considered when fingers are already bent by more than 15 to 20 degrees and the use of the hand has become restricted. Dupuytren s surgery partial or total fasciectomy surgery is the most common treatment of dupuytren s contracture.
Such contractures most likely cause some. This surgery is the most invasive option and has the longest recovery time. Surgery for dupuytren contracture generally should be performed on an affected metacarpophalangeal mcp joint if the contracture is 30 or greater.
Surgery is an effective and widely used treatment for dupuytren s contracture although all surgery carries some risks. It s important todiscuss your recovery and any aftercare procedures you may need with your specialist before having surgery. In some severe cases especially if surgery has failed to correct the problem surgeons remove all the tissue likely to be affected by dupuytren s contracture including the attached skin.
In these cases a skin graft is needed to cover the open wound. It is only indicated when the fingers are flexed 30 degrees or more. Generally the more extensive your surgery the longer your recovery time.
Skin damage is surprisingly common after treatment for dupuytren s contracture. It can take a long time to recover full or partial function of the hand after surgery for dupuytrens contracture dupuytren s disease. Non surgical treatment options may include physiotherapy and massage radiation therapy which may prevent or delay the need for surgery and a medicine called collagenase clostridium histolyticum xiapex injection.
A physician may consider surgical intervention when the fingers are impeded enough so as to make one s lifestyle or work.
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