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Understanding Dupuytren's Surgery with Dr Theo Birch

If you’re experiencing symptoms of Dupuytren's contracture, it may be time to explore treatment options. Specialised surgeon Dr Theo Birch offers individualised care for this condition, helping patients regain function and comfort in their hands. In this blog, we’ll delve into what Dupuytren’s surgery entails, the expected downtime after the procedure, and the importance of aftercare with a hand therapist.

What is Dupuytren's Contracture?

Dupuytren's contracture is a condition where one or more fingers bend toward the palm due to the thickening and shortening of tissue beneath the skin. This can lead to difficulty in straightening fingers, affecting hand function and quality of life. The exact cause of the condition remains unclear, but it tends to run in families and is more prevalent in individuals of Northern European descent.

What is Dupuytren's Surgery?

Dupuytren's surgery, also known as fasciectomy, involves the surgical removal of the thickened tissue to restore the normal function of the fingers. Dr Birch employs advanced techniques to ensure minimal disruption to surrounding structures and tissues, thereby enhancing recovery and maximising outcomes.


The procedure generally involves:

  • Anaesthesia: Typically performed under general anaesthetic to ensure patient comfort.

  • Incision: An incision is made in the palm or fingers to access the affected tissue.

  • Tissue Removal: The abnormal tissue causing the contracture is excised.

  • Closure: The incision is then closed, often using non -absorbable stitches.

Downtime Post-Surgery

Following Dupuytren’s surgery, patients can expect some initial downtime, although it varies depending on the extent of the contracture and tissue involved. Many patients can return home the same day, and the surgical site will be wrapped in a protective dressing. Typically, patients may experience:


  • Swelling and Discomfort: Mild swelling and discomfort are common. Pain can usually be managed with prescribed medications.

  • Activity Restrictions: For the first few weeks, activities that strain the hand should be avoided to allow for appropriate healing.

  • Hand Function: Most individuals can gradually resume light activities within one to two weeks, but full recovery may take several weeks.


Aftercare Involving a Hand Therapist

Post-surgery, the role of a hand therapist is crucial in ensuring optimal recovery and restoring hand function. After the initial healing period, engaging in a structured rehabilitation program offers several benefits:


  • Therapeutic Exercises: A hand therapist will guide you through specific exercises designed to improve range of motion, enhance strength, and prevent stiffness.

  • Splinting: In some cases, the therapist may provide you with a splint to support proper finger alignment during the healing process.

  • Ongoing Assessment: Regular follow-ups will help monitor your progress, allowing for adjustments to the rehabilitation program as needed.

Conclusion

Dupuytren's surgery is a highly effective solution for those struggling with contractures, and Dr Theo Birch offers personalised care to guide you through the process. With adequate downtime and a comprehensive aftercare plan involving a hand therapist, you can look forward to regaining function and comfort in your hands.


If you suspect you might have Dupuytren's contracture or if you're considering surgery, don't hesitate to contact Dr Birch’s office for a consultation. Taking proactive steps can lead to a positive outcome and improved quality of life.


Contact our clinic today to take the first step towards achieving a more

confident and comfortable you.


Jade Chapman – Nurse Practitioner

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