What is Dupuytrens contracture? Dupuytrens contracture is a condition that results in the progressive thickening of the fascia (fibrous lining) of the palm that covers the tendons, nerves and blood vessels. It is a condition strongly associated with northern European heritage and often runs in families. Symptoms

• Thickening of the tissue in the palm over years

into cords and nodules. • Contraction of the joints of the hand leading to

difficulty straightening the fingers. • The palm skin may be dimpled and puckered. • Pain is less common. • Uncommonly, thickening can also occur in the

feet and other parts of the body. Treatment This is a progressive condition that often takes years to develop. While there is no definitive cure, there are several treatment options to help straighten the fingers. Non Surgical Treatments

• For those patients who do not wish to

undertake surgery, or are unsuitable for surgery, a “needle fasciotomy” can be performed using a needle or small blade to release the cords. Generally, thickened tissue is not removed and there is a high chance of recurrence.

• From 2014, collagenase injection treatment may become available in Australia for suitable patients to “dissolve” or break down some of the thickened tissue. The cost and long term results of this treatment is not yet known.

At the moment, surgery still remains the most effective treatment with the lowest recurrence.

Typical appearance of Dupuytrens Contracture indicating the position of thickened tissue “cords”, these pull the digits into a contracted position. Surgical Treatment

• A general anaesthetic is usually required and

the thickened tissue is removed surgically. • Depending on the severity of the condition, the

operation can be extensive, and sometimes skin grafts are required.

• In most cases, the operation is performed as a day case and you can go home with a plaster splint and bulky dressings.

After the Operation

• Your surgeon will usually see you within a

week to check the dressings and wounds. • Bruising and swelling is common for 1-2

weeks. • Often, you will be referred to a hand therapist

for exercise to relieve stiffness and night splinting to improve the posture of the fingers.

• You should be prepared for at least 2-3 weeks before returning to office related work.

• It may be up to 6 weeks before you are able to perform heavy lifting or manual work.

PATIENT INFORMATION Mr Frank Lin Plastic Surgeon

 DUPUYTRENS CONTRACTURE

www.drfranklin.com.au

Mr. Frank Lin, FRACS Plastic Reconstructive Aesthetic Surgeon

Tel: 9890 2800 Fax: 9890 3800 中文专线 : 9899 2266 This information is provided as a guide only. Copyright Dr. Frank Lin 2011-2014

www.drfranklin.com.au