Dupuytren’s contracture

Dupuytren's contracture
Dupuytren's contracture
Dupuytren's contracture

Treatment Overview

Objective: To improve the extension deficit of the finger joint(s) affected by the disease and/or reduce or eliminate palm nodules (lumps).
Anaesthesia: Local (without tourniquet)
Procedure duration: 1 hour
Pain level: 4/10
Recovery time: 2 to 6 weeks
Resumption of physical activities: 6 weeks

Dupuytren’s contracture is a genetic disease, which affects the fascia (layer of tissue that lies under the skin) of the hands and fingers. The aponeurosis is a layer of tissue between the skin and fat of the palm of the hand. In Dupuytren’s contracture, this fascia becomes inflamed and produces nodules (lumps) and cords of tissue. As these cords tighten, one or more fingers might be pulled toward the palm, thus preventing the extension of the finger(s).

When the flexion of a finger is significant, it may warrant corrective surgery called a palmar aponevrectomy.

Dr. Boudana performs this surgery in a private clinical setting and the procedure is not covered by health insurance. As such, the patient must pay for the entire cost of the procedure.

However, please note that this procedure is one of the treatments covered by health insurance and offered in hospitals by surgeons. In this setting, the patient does not have to pay for the procedure.

The procedure

Aponevrectomy consists of removing only the part of the palmar aponeurosis that causes the formation of nodules or tightened cords. It is impossible to remove the entire aponeurosis.

After disinfection of the hand, local anaesthesia is performed on the palm area to be treated. Then the removal of the nodules and cords is carried out. Particular attention must be paid to the preservation of the fingers’ blood vessels and nerves, whose diameters are in the order of millimetres. Sometimes, because of considerable contracture, a skin graft must be performed to allow the fingers to be extended. This should be discussed during the pre-operative consultation with Dr. Boudana.

Where is the operation performed?

Dr. Boudana only operates on patients in private state-of-the-art operating rooms accredited by Accreditation Canada. This accreditation is a guarantee that the facilities meet stringent safety and quality standards.

After surgery

After the surgery, you will receive a personalized follow-up. Our nurses will also be available and will perform all dressing changes at our clinic.

You will be given a postoperative instruction sheet when you are discharged as well as a prescription for pain medication.

It is important to understand that recurrences are frequent because it is a genetic disease. The aim of surgery is to treat lesions related to the current progression of the disease, but surgery does not cure Dupuytren’s contracture. It can remain active after the operation causing other similar lesions in the treated area and even more so in the non-operated areas.

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