Dupuytren’s Fasciectomy in India: Things to Consider While Going For the Surgery

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

The signs of this disease are shown by what looks like scarring on the palms of your hands and the fingers. Fingers curling towards the palms happens when the fibrous connective tissue in the palms has thickened. This condition is known as Dupuytren’s Contracture.

Surgery not only straightens the fingers but also makes using your hand easier.

This procedure may be performed to different degrees: cutting the fibrous band in your palm or taking away the scarred skin and covering the area with skin grafts. The are a number of anaesthetic procedures available for this operation.

Any risks or complications will be discussed in advance of your treatment with your expert consultant.

• No overnight stay.
• Regular exercise of your hand and fingers will help recovery and get your hand back to normal more quickly, however, all exercise should be approved by your doctor first.
• Your hand may take a little time to feel normal after surgery.

• Symptoms of the disease start slowly. The first symptoms include firm nodules or bumps that form on the palm of the hand. Here’s what else you should know:
• Nodules may be tender at first, but they can become less painful as the disease progresses.
• Over time, thick bands of tissue form beneath the skin of the palm.
• In more severe cases, the fingers, especially the last two fingers, curl down into the palm and can’t be straightened.
• Symptoms can involve one or both hands and can range from just nodules to complete contraction of all the fingers.

Doctors do not know why the fascia in the palm of the hand becomes abnormal in people with Dupuytren’s contracture, but it tends to run in families. Here’s what else you should know:

• The disease rarely starts before age 40, but becomes more common with increasing age.
• People whose ancestors are from Scandinavia or other areas in northern Europe are at the highest risk. Two-thirds of men who are related to people with Depuytren’s contracture develop the condition. Having diabetes is another risk factor.
• Men may be at as much as 15 times greater risk than women. However, because women tend to get a milder form of the disease, they may simply not be diagnosed as often as men.
• Although drinking alcohol and cigarettes have both been linked to Dupuytren’s in a few studies, altering habits does not appear to modify the disease.

One factor that does not seem to increase your risk is working with your hands or having a hand injury.

Dupuytren’s contracture is not a life-threatening disease. Those with a milder form of the disease experience few limitations. For some people, the disease never progresses beyond the nodule stage. The disease comes on slowly, but if symptoms start at an early age, it may progress more quickly. The progressive form may end with one or both of hands frozen in a claw-like deformity, making it hard to grip or grasp, wear gloves, or even put your hand in your pocket.

Unfortunately, there is no cure for the disease and there is nothing you can do to stop its progression. Hand exercises may be helpful if you have a mild form of the disease or if you are recovering from surgery. However, in some cases, trying to stretch your hands or exercise your fingers may actually make the disease progress more quickly. Because every person is unique, check with your doctor to see what can help you manage this disease. If you have a milder form, you may experience few limitations. If the disease progresses to cause your hand to become deformed, you may need to see a hand specialist for treatment.

Treatment can slow down Dupuytren’s and may relieve some of the deformity that has already set in. Treatment options include:

• Steroid injections into the hand to relieve painful nodules
• Enzyme injections into the palm to break up thickened fascia
• Needle aponeurotomy where a needle is inserted through the palm of the hand to break up the fascia during this in-office procedure (recurrences are common)
• A reconstructive type of open hand surgery called fasciectomy/fasciotomy to remove or split the thickened fascia (recurrence rate is variable and based on multiple factors)

Surgical procedures help most people regain some movement in their fingers, but the contracture comes back in about 20% of people. After treatment, a splint may be used to keep the hand in the best position to heal. Physical therapy may be started with massage and strengthening exercises.

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