Dupuytren's disease
Dupuytren's disease affects the palm and fingers, causing pathological thickening and shrinking of the palmar aponeurosis, leading to contracture of the fingers. In our clinic we offer treatment either with surgery, or with aponeurotomy if the patient does not want a surgical approach. Aponeurotomy is a minimally invasive treatment performed under local anesthesia. A needle is placed under the skin and transects the Dupuytren's cords. It is a minimally invasive treatment and is performed in our clinic under local anesthesia. The classic approach to surgical treatment focuses on removing one or all of the affected part of the palmar aponeurosis (total or partial aponeurectomy). The operation is usually performed under local or regional anesthesia. Key steps to a successful operation include removal of the affected palmar denervation, careful preparation and release of the dactylic vessels and nerves, and making multiple Z-plasty incisions to lengthen the sagging skin. Trust our expertise for personalized care and relief from Dupuytren's disease.
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What are the causes of the disease?
The origin of the condition remains a mystery. It usually appears after 40, is more common in men and in northern European countries, and is often hereditary. Factors such as alcohol consumption, smoking, diabetes mellitus, epilepsy and thyroid disease can increase the chances of happening.
What are the symptoms?
A nodule (lump) usually appears on the palm which is usually not painful and does not affect the patient's daily life. Over time, the thickening gradually extends both into the palm and along the fingers creating shriveled "chords" that cause the fingers to contract progressively.
More rarely, the dorsal skin on the extended surface of the fingers can also be affected and the so-called Garrod's knuckle pads can be created.
The condition develops progressively, usually slowly, but in some cases extremely quickly.
When is surgical treatment needed?
The surgical treatment is recommended when patients face difficulty in extending their fingers, limiting their daily activities. Surgery is also considered in cases where the shrinkage is small, but significantly affects the patient's quality of life.
What happens after surgery?
After surgery it is necessary to participate in a physiotherapy rehabilitation program in order to prevent the recurrence of the condition and to improve the mobility of the joints.
Are all cases equally treatable?
In some cases it is impossible to fully straighten the finger, or gradual straightening of the finger is required, as the sudden extension may show vascular problems from the narrowing of the finger vessels. In very few - extremely neglected - cases, the amputation of the finger is the most appropriate solution for the return of the functionality of the hand. At this point we should emphasize that the surgical treatment of the disease does not exclude its reappearance in the same place (recurrence) or its appearance in another place (expansion).
What are the possible complications?
The most common complications that can occur are: hematoma, injury to digital nerves and vessels, inflammation, reflex sympathetic dystrophy
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Contact usWhy should you choose this servise?
Improved hand functionality
Pain relief
Prevents further disability
Personalized approach
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