Dupuytren’s Contracture

Dupuytren's contracture is a disorder of the underlying tissue (palmar fascia) on the palm side of the hand and may involve the skin. Thick, scar-like tissue forms under the skin of the palm and may extend into the fingers, pulling them toward the palm and restricting motion. The condition usually develops in mid-life and has no known cause (though it has a tendency to run in families).

Surgery is the main treatment for Dupuytren's contracture. The procedure involves excision  and dissection of the cords of thickened tissue in order to free up tendons and neurovascular bundles. The aim of the procedure to allow better finger movement and overall hand function. The operation must be done very precisely, since the nerves that supply the hand and fingers are often tightly bound up in the abnormal tissue. In some cases, skin grafts are also needed to replace tightened and puckered skin.

The results of the surgery will depend on the severity of the condition. You can usually expect significant improvement in function, particularly after hand therapy.

 

Estimated costs

Total cost:  $300 if insured,  $2000 if uninsured

Risks and possible problems

• Reoccurrence.  In the predisposed individual surgery to one finger may be followed by recurrence in another finger or even on the original finger.
• Nerve damage resulting in numbness.
• Reflex sympathetic dystrophy causing swelling, redness & chronic pain.
• Smokers and diabetics take a much longer time to recover.

If you need more information, please call 03 8769 8555 or email us at info@corymbiahouse.com.au and we will get back to you next business day.

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