Dupuytrens Contracture
What is Dupuytren’s Disease?
Dupuytrens’ (du-pwe-TRANZ) Disease is a condition that tends to progress over time. There is a some genetic component commonly seen in patients with a Northern European ancestry. The condition affects the layer under the skin in your palm. Over time this layer forms cords and causes the finger to contract down into the palm. It most commonly affects the ring and small finger of the hand.
What are the common problems with Dupuytren’s Contracture?
With the development of contractures, certain functions of the hand become difficult to perform. Patients are unable to put their hand flat on a table. If the small finger is involved, it can get caught when putting your hand in your pocket.
Do all patients with Dupuytren’s require surgery?
Many patients can be treated without surgery. There are various ways to treat the contracture depending on the severity. An injection with collagenase (Xiaflex) www.xiaflex.com can be injected in the cord causing the contracture to release and straighten the finger. Surgery can also be performed to remove the cord that is causing the contracture. To determine the best treatment for you, Dr. Weinheimer performs a thorough physical exam. He also has experience in multiple treatment options and can help you determine what is best for you. If Dr. Weinheimer believes surgery is necessary for you, he explains why you need the procedure and how it can help your hand heal.
What are the risks?
Dupuytren’s surgery carries risks like most other surgical procedures, including:
- Allergic reaction to anesthesia
- Excessive bleeding
- Postoperative pain
- Infection at the surgical site
- Damage to surrounding tissues
In some cases, surgery may not be successful, and you may continue experiencing symptoms even after your recovery period. However, as an experienced hand and upper extremity surgeon, Dr. Weinheimer knows how to perform these procedures as safely and effectively as possible.
How fast do patients recover from Dupuytren’s surgery?
Most patients will go home the day of surgery. Most patients can resume their normal activities within two weeks. Before scheduling your surgery, Dr. Weinheimer explains your expected recovery time, as well as the instructions you must follow while you heal. Following all these instructions carefully ensures that you recover from the procedure as quickly as possible.
