Dupuytren’s Contracture Repair

Dupuytren’s Contracture Repair

Dupuytren’s contracture is a connective tissue disorder marked by the buildup of collagen, progressive fibrosis, and thickening of the palmar fascia. Collagen, a structural protein found in the skin, blood vessels, bones, cartilage, and tendons, becomes excessively produced due to overactivation of certain genetic pathways. This results in the hardening of the skin on the palm, the formation of nodules, and in advanced stages, the fingers bending inward toward the palm.

Although it is largely a hereditary condition, it is more commonly observed in men who engage in strenuous manual labor or use vibrating tools. Diagnosis is typically made through a physical examination. In the early stage, firm nodules or lumps appear in the palm. As the condition progresses, the fingers begin to contract slightly, eventually leading to permanent flexion contracture in the final stage. One common test involves asking the patient to place their hand flat on a table. If they are unable to do so due to finger stiffness or pain, surgical intervention is often required.

Surgical treatment involves the careful removal of the fibrous bands that cause tension and adhesions near the tendons and blood vessels. Because the affected tissues are located close to the skin surface, complications such as delayed wound healing can occur. However, these issues are usually manageable with proper post-operative care and are not typically serious.

If you have been diagnosed with Dupuytren’s contracture, it is strongly advised to consult a Plastic Surgeon who specializes in microsurgery.

While most commonly affecting the palms, Dupuytren’s contracture can also develop in other areas such as the soles of the feet and the penile skin.