Dupuytren's contracture is a chronic connective tissue disease of the palm, characterized by thickening of the tissue, which progressively limits finger extension.
Most commonly affects:
The problem can significantly affect daily activities, work, and quality of life.
Dupuytren's contracture causes progressive thickening and shortening of the connective tissue in the palm, leading to a flexural deformity of the fingers. Initially, the patient notices a small nodular thickening in the palm. As the disease progresses, cords of connective tissue appear that grow into the skin and surrounding structures, preventing full extension of one or more fingers and significantly limiting the hand's functionality in daily tasks. At Juventina, treatment is based on precise and individualized treatment planning.
We use surgical microscopes and modern techniques that allow for:
The goal of the procedure is to improve finger extension and hand function.
At Juventina, we perform precise surgical removal of the affected tissue, during which:
Before the procedure, we conduct a thorough examination and, if necessary, perform additional diagnostic tests. If needed, we also use magnetic resonance imaging (MRI).
Diagnostics include:
We recommend:
Based on the clinical examination and patient interview, we opt for a surgical procedure under local anesthesia (wrist, venous, axillary block) or, rarely, general anesthesia. After preliminary marking, the procedure is performed in a bloodless field using surgical loupes. We make an incision along the marked part of the palm and expose the thickened, cord-like, nodular thickening. We carefully retract the neurovascular bundles that are in close contact with the altered aponeurosis. The altered tissue is completely removed, and the fingers are straightened. Then, we perform meticulous hemostasis (stopping bleeding), suture the skin, and apply a splint and compression bandage.
A minimally invasive and precise approach allows for:
After surgery, the following may be present:
Important:
Finger maneuverability gradually improves in weeks to months after surgery. With the program Juventina Care 360° we ensure comprehensive preparation for the procedure, rapid and effective recovery, and access to advanced regenerative therapies post-surgery.
Juventina Care 360° includes:
