Dupuytren’s Contracture, a disorder of the skin and underlying tissue on the palm side of the hand, results in thick, scar-like tissue forming under the skin of the palm and possibly extending into the fingers, pulling them toward the palm and restricting motion. The condition usually develops in mid-life and has no known cause (though it has a tendency to run in families).
In Dupuytren’s Contracture, scar-like tissue in the palm pulls fingers into an abnormal position. Dr. Lesavoy may make zig-zag incisions across this band of tissue, creating small skin flaps.
Surgery is the only treatment for Dupuytren’s Contracture. Dr. Lesavoy will cut and separate the bands of thickened tissue, freeing the tendons and allowing better finger movement. The operation must be done very precisely, since the nerves that supply the hand and fingers are often tightly bound up in the abnormal tissue. In some cases, skin grafts are also needed to replace tightened and puckered skin.
The results of surgery for Dupuytren’s Contracture depend on the severity of the condition. Usually, you can expect significant improvement in function, particularly after physical therapy, and a thin, fairly inconspicuous scar.
After surgery, the repositioned flaps will expand like an accordion, allowing freer finger motion.