Treatment is often considered when Dupuytren’s contracture begins limiting hand function. The appropriate approach depends on severity, affected joints, health and personal goals.
Options may include observation, needle aponeurotomy or fasciotomy or surgery. A qualified clinician can explain the availability, benefits, risks, recovery and possibility of recurrence.
A clinician uses a needle aponeurotomy technique to divide the tight cord in cases of Dupuytren's contracture, inserting the needle through numbed skin. Recovery from this procedure is generally shorter than after open surgery, and while treatment options like collagenase injection may be available, there's a possibility that the condition can return. Hand therapy may also be recommended as part of the overall recovery process.
Where available, a collagenase injection is administered to weaken the cord associated with Dupuytren's contracture. Subsequently, the finger is carefully manipulated during hand therapy to assist in releasing the contracture. Treatment options, including needle aponeurotomy, may vary by location.
Through an incision, a surgeon removes the affected fascia causing Dupuytren's contracture. While treatment options like needle aponeurotomy or collagenase injection can be less invasive, recovery from surgery typically takes longer and may include hand therapy to regain function.
A surgeon may remove affected fascia and overlying skin for conditions like Dupuytren's contracture, subsequently covering the area with a skin graft. This surgical method is often considered for severe or recurrent disease, alongside other treatment options such as collagenase injection, needle aponeurotomy, and hand therapy.
Recovery from Dupuytren's contracture may involve various approaches including wound care, swelling control, exercises, and hand therapy. The treatment plan is tailored to the individual's hand and may include options such as collagenase injection and needle aponeurotomy. It’s important to note that while these treatment options can help manage the condition, no treatment permanently cures Dupuytren’s, and recurrence can occur after procedures.
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