Our Philosophy on Dupuytren’s Contracture Surgery
At AR Plastic Surgery, surgery for Dupuytren’s contracture is offered to patients who experience progressive finger bending caused by thickened tissue in the palm. This condition results from the development of firm cords beneath the skin, which can pull one or more fingers toward the palm over time. As the condition advances, it may interfere with hand function, especially tasks requiring the fingers to straighten fully.
Surgical treatment is considered when the contracture begins to interfere with hand function, particularly when a finger cannot fully extend or when everyday tasks become difficult. The procedure involves carefully releasing or removing the thickened cords beneath the skin to allow the affected fingers to straighten. Our approach is based on assessing the severity of the contracture, the joints involved, and the patient’s overall hand function and goals.
Every case is managed with individual care, based on the patient’s symptoms and functional needs. We provide detailed information about the surgical plan, expected results, and the steps involved in recovery. The goal of surgery is to help the affected fingers straighten more fully while reducing risks and protecting nearby structures.
Understanding Dupuytren’s Contracture
Dupuytren’s contracture is a condition that affects the connective tissue under the skin of the palm. Over time, fibrous bands or cords form and gradually thicken, pulling the fingers into a bent position. The ring and little fingers are most commonly affected, but the condition can involve any finger.
The exact cause of Dupuytren’s contracture is not fully understood, but it is thought to be influenced by genetic factors. It tends to run in families and is more common in men over the age of 50. While it is usually painless, the progressive bending can significantly reduce hand function and make activities such as writing, gripping objects, or putting a hand in a pocket difficult.
Dupuytren’s contracture does not always require surgery, particularly in early or mild cases where hand function remains unaffected. In these situations, regular monitoring may be appropriate to track any progression. If the contracture begins to interfere with daily activities or becomes more severe over time, surgical intervention may be considered to release the affected tissue and support finger movement.
