At A Glance

Price:

From £3000

Expected Results:

Improved hand function

Length of Surgery:

60-120 mins

Anaesthesia:

Local anaesthesia

Recovery:

Light activities by 1-2 weeks

What is Dupuytren’s Surgery?

Dupuytren’s surgery is a surgical procedure aimed at correcting Dupuytren’s contracture, a condition in which one or more fingers bend towards the palm due to the thickening and shortening of the connective tissue beneath the skin.

This surgery involves the removal or release of the affected tissue, allowing for improved finger extension and function.

The primary goals of Dupuytren’s surgery include:

Restoring Finger Function: Individuals with Dupuytren’s contracture often experience difficulty extending their fingers, which can hinder daily activities. The surgery aims to release the contracted tissue, restoring normal finger movement and improving hand function.

Alleviating Pain and Discomfort: Many patients experience discomfort associated with the condition. By surgically addressing the underlying issue, the procedure can provide significant relief from pain and improve overall hand comfort.

Preventing Progression of the Condition: Without intervention, Dupuytren’s contracture can worsen over time, leading to more severe flexion of the fingers. Surgical treatment helps prevent further progression, ensuring better long-term hand health.

While Dupuytren’s surgery can lead to substantial improvements, it is important to understand that recovery may take time, and rehabilitation may be necessary to achieve optimal results. Ultimately, the procedure can greatly enhance the quality of life for those affected by Dupuytren’s contracture.

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The Consultation

Consultation

During a consultation with a hand surgeon, you can expect a thorough evaluation of your hand condition. The appointment typically begins with a discussion of your medical history, including any previous injuries, surgeries, or underlying medical conditions that may impact hand health. The surgeon will then conduct a physical examination, assessing the range of motion, strength, and any visible abnormalities in the hand and wrist. You may be asked specific questions about your symptoms, such as when they began, how they affect your daily activities, and any treatments tried previously. Depending on the findings, the surgeon may recommend diagnostic imaging, such as X-rays or MRIs, to gain further insights into the condition. After the evaluation, the hand surgeon will discuss potential treatment options, which may range from conservative measures to surgical interventions, and address any questions or concerns you may have about the diagnosis and treatment plan. Overall, the consultation aims to provide a comprehensive understanding of the condition and outline the best path forward for recovery and improved hand function.

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The Procedure

Procedure

Dupuytren’s contracture release surgery under local anaesthetic is a targeted procedure designed to correct the curvature of the fingers caused by the thickening of the palmar fascia. During the surgery, the patient remains awake while the local anaesthetic is applied to numb the hand, allowing for a comfortable experience without the need for general anaesthesia. The surgeon makes a small incision in the palm to access the affected tissue and carefully removes or releases the thickened cords that are pulling the fingers inward. This minimally invasive technique not only minimizes discomfort but also promotes a quicker recovery and less postoperative swelling. Patients typically go home shortly after the procedure and are encouraged to begin rehabilitation exercises soon after surgery to restore mobility and strength in the fingers. Most individuals experience significant improvement in hand function and a reduction in the contracture, allowing them to return to their daily activities with greater ease.

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Aftercare & Results

Aftercare

After hand surgery, proper after-care is crucial for a successful recovery. Patients should follow their surgeon’s instructions closely, which may include keeping the hand elevated to reduce swelling and applying ice packs as recommended. It’s important to keep the surgical site clean and dry, changing any dressings as instructed to prevent infection. Gentle exercises may be introduced gradually to restore mobility, but patients should avoid any strenuous activities or heavy lifting until cleared by their doctor. Pain management is also key, so taking recommended medications as directed can help alleviate discomfort. Regular follow-up appointments will allow the surgeon to monitor healing progress and address any concerns, ensuring the best possible outcome for hand function.

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What our clients think

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Dr Misha Zee Malik 5 months ago
Lovely experience . Dr abood was very kind and reassured me well before the procedure
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Neil Francis 5 months ago
The Day Clinic staff and Dr Abood were exceptional. Greeted with a smile, offered a drink while I waited for my appointment, on time and procedures explained with detail, super friendly. I went ahead on the day, having two moles removed. Aftercare explained and off I went. I wish I had it done sooner. Highly recommend

Thanks Dr Abood!

Plenty of parking and easy to find.
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Richard Davey 5 months ago
Very happy with the professionalism of the The Day Clinic staff and Dr Abood , everything was explained to me from start to finish of the procedure of the removal of my lipoma , which I’m very happy with.
The Day Clinic is very easy to find and plenty of parking available.
I would recommend Dr Abood to anyone wanting a procedure.
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Sally Marriott 5 months ago
I thoroughly recommend Dr Abood and his team. The Day Clinic is bright, super clean & modern. I felt informed, relaxed & looked after during my procedures
where I had a Lipoma and a small cyst removed from my face. I shall be returning next week to have my stitches removed.
The Day Clinic is also very accessible being on the outskirts of Cambridge.
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Kay Morland 5 months ago
Dr Abood and his team were recommended to me for his seamless minimal scaring small operations. I had a small op to remove a lump in a visible area. The operation was very seamless, quick and low fuss. Free parking, easy to find, and the team were extremely friendly and attentive. They made a real effort to squeeze me in in a short time frame which I really appreciated, and sent me away with an after care plan. The actual wound was extremely tidy and I felt the operation was extremely thorough and professional. I had an appointment to view and operate on the same day but I also know that if I had wanted to postpone the operation to have time to process what he had told me, they would have done so, and made every effort to make me comfortable moving forward.
Although I'm still to see the final healed result I would thoroughly recommend the day Clinic for small ops like mine.
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John Dowdell 6 months ago
No problems, would recommend. Operation was quick and painless. Recovery is not too sore.
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simon bowers 6 months ago
So terrific to be seen and treated quickly. I had 100% confidence in Dr Abood, both in terms of his professionalism and his communications to me as a patient.
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sharon wollaston 6 months ago
lovely clean professional treatment, care and information easy to understand and looked after very well
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Cheeze Muphinnz 6 months ago
Very pleased with my experience at The Day Clinic. The staff are all exceptionally kind and helpful, and the surgery went smoothly.
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Potential Risks

Dupuytren’s contracture release surgery under local anaesthetic is generally safe, but as with any surgical procedure, it comes with potential risks and complications. These may include:

Infection

There is a risk of infection at the surgical site, which might necessitate treatment with antibiotics or further surgical intervention.

Nerve Injury

Although rare, there is a possibility of damaging nearby nerves during the procedure, potentially leading to altered sensation or weakness in the fingers.

Tendon Injury

The surgery may inadvertently affect the flexor tendons, which could result in complications with finger movement or function.

Persistent Symptoms

Some patients may continue to experience symptoms, such as pain, stiffness, or recurrence of the contracture, even after the surgery.

Scarring

The incision may lead to scarring, which can sometimes be painful or restrict movement in the hand or fingers.

Stiffness and Reduced Range of Motion

Post-operative stiffness is possible, and some patients may require physical therapy to regain full motion and strength in the hand.

Related FAQs

When is surgery necessary for Dupuytren’s contracture?

Surgery is typically recommended when the contracture becomes significant enough to interfere with daily activities or if the fingers cannot be fully extended. The decision for surgery often depends on the degree of contracture and the patient’s overall hand function.

What does Dupuytren’s contracture surgery involve?

The surgery, known as fasciectomy, involves removing the thickened fascia causing the contracture. In some cases, a needle aponeurotomy or collagenase injection may be performed to break down the tissue instead of surgery.

What type of anaesthesia is used during the surgery?

Dupuytren’s contracture surgery is usually performed under local anaesthesia, which numbs the hand and fingers. In some cases, sedation may also be used to help the patient relax. General anaesthesia is less common.

How is the recovery process after the surgery?

Recovery typically involves wearing a splint for a few days to keep the fingers straight. Physical therapy may be recommended to regain strength and mobility. Most patients can resume light activities within a week, but full recovery may take several weeks to months.

What is the success rate of Dupuytren’s contracture surgery?

The success rate is generally high, with many patients experiencing significant improvement in finger extension and hand function. However, recurrence is possible, and some patients may require additional treatment in the future.

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