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Dupuytren’s Disease Surgery in Houston, TX

Dupuytren’s disease can be painful and debilitating. Fortunately, treatment at The Oaks Plastic Surgery in Houston, TX can help.

Dupuytren’s Disease Surgery in Houston, TX

What is Dupuytren’s?

Dupuytren’s is a disease that affects the fascia of the hands. Fascia is a tough, fibrous tissue that exists throughout the body. In Dupuytren’s disease, the fascia in the palms of your hands begins to form nodules.

Eventually, these nodules can progress into cords of tough tissue that impair your movement. Although these cords may look like tendons, they are actually comprised of fascial tissue.

In its most progressed state, Dupuytren’s results in a Dupuytren’s contracture, meaning one or multiple fingers are drawn inward towards your palm. With a Dupuytren’s contracture, you cannot fully extend your finger, dramatically reducing the functionality of your hand.

While Dupuyten’s contractures can be debilitating, Dupuytren’s does not pose a risk to your overall health. Fortunately, even contractures can be effectively treated with surgery.

What Are Treatment Options for Dupuytren’s?

Some people with Dupuytren’s require no treatment at all. When nodules of fascia form, your doctor will usually recommend a wait-and-see approach. Sometimes, the disease doesn’t progress any further, and a small nodule remains your only symptoms.

In other cases, fascial nodules and cords result in Dupuytren’s contracture and require surgery. There are two main types of Dupuytren’s contracture surgery:

Fasciotomy is the less invasive of the two surgeries. It involves splitting, but not removing, the nodules and cords. Breaking up the tough tissue restores flexibility and range of motion to your hand.

Subtotal Palmar Fasciectomy
As the name suggests, subtotal palmar fasciectomy involves removing affected fascial tissue from your palm. Fasciectomy is more invasive than fasciotomy, requiring in larger surgical incisions. Occasionally, fasciectomy requires skin grafting to heal properly. Like fasciotomy, this procedure will restore movement to your hand and fingers.

Why Choose a Plastic Surgeon for Dupuytren’s Contracture Surgery?

Because plastic surgeons are trained to minimize scar tissue, they are experts in dealing with fascia. Not only will they effectively handle the abnormal fascia associated with Dupuytren’s they’ll minimize additional scar tissue to your hand.

Because Dupuytren’s contracture can reoccur after surgery, its essential to minimize trauma and scar tissue during surgery. Excessive scar tissue can exacerbate the effects Dupuytren’s, further decreasing mobility and creating more potential for Dupuytren’s contracture to reoccur.

A plastic surgeon will also minimize cosmetic damage to your hand. Incisions for palmar fasciectomy are often done in a zigzag pattern. This creates the potential for noticeable and unsightly scars. The trained hand of a qualified plastic surgeon will ensure that scarring is as light and subtle as possible.

What to Expect at Your Initial Consultation for Dupuytren’s Disease Surgery

Dr. Andry or Dr. Wijay will ask about your medical history, your experiences with Dupuytren’s, and previous treatments. Your surgeon will examine your hand to determine the extent of your Dupuytren’s. Together, you and your surgeon will discuss your options until you have a treatment plan that you feel comfortable with.

What to Expect the Day of Your Dupuytren’s Disease Surgery

Fortunately, Dupuytren’s surgery is usually an uncomplicated procedure. You’ll be given general or local anesthesia, depending on what you and your plastic surgeon decided. Your doctor will meet with you to answer any final questions you have before surgery.

If you’re having a fasciotomy, your surgeon will make a small incision and treat the affected fascial tissue. If you’re having a palmar fasciectomy, your surgery will take slightly longer and require more incisions.

In most cases, your surgery will be an outpatient procedure.

What to Expect After Dupuytren’s Disease Surgery

Recovery from fasciotomy is generally quicker and easier than recovery from fasciectomy, but with both procedures, serious complications are rare.

Your surgeon will give you detailed postoperative instructions to help your hand heal with minimum scar tissue. You may need to perform physical therapy exercises to help restore more motion to your hand.

While Dupuytren’s contracture eventually reoccurs in about 20% of patients, surgery still offers significant improvement in movement for a significant amount of time.

What Are Treatment Options for Dupuytren’s

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You don’t have to suffer from painful Dupuytren’s contractures. Reach out today to learn how The Oaks Plastic Surgery can help restore motion and functionality to your hand.

The Oaks Plastic Surgery is your home for high-end, high-quality, luxury plastic surgery care in Houston, Texas

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