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Surgery for Dupuytren’s contracture

Solution to finger and palm contractions

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Do you have difficulty with straightening your fingers and have stiff tendons in your palm?
Place yourself in the hands of our experts at Perfect Clinic who can help you solve your problem.

Information about the procedure

What is Dupuytren’s contracture?

Dupuytren’s contracture is a degenerative disorder in which the ligamentous structures in the palm of the hand stiffen and shorten, leading to curling of the fingers inward and restriction of their mobility to extension. It is a disease in which the ligamentous bands in the palm of the hand become stiff and shortened, limiting the extension of the fingers – most commonly the ring and little fingers. The cause is not always clear, but genetics, diabetes, smoking or repetitive physical stress play a role. Gradually, hand function is limited and the quality of life is significantly reduced. Surgery can significantly improve hand function and slow the progress of the disease.

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How can this procedure help you?

What problems does it solve and who is it suitable for?

This procedure is performed under:

Analgosedation
Local anaesthesia
General anaesthesia

Targets:

  • Limited finger mobility – inability to straighten the fingers
  • Progressive deformity of the hand
  • Functional limitations in daily life and work

Suitable for:

  • Patients with advanced contracture unresolvable by conservative treatment
  • Persons with obvious hand deformity
  • Clients who want to slow down or stop the development of the disease

Treatment overview

Treatment overview

1

Consultation with a doctor

  • Diagnosis usually based on visual inspection and palpation alone – a stiff band in the palm and inability to straighten the fingers are typical.
  • Examination of the extent of disability and assessment of treatment options
  • Planning of the type of surgery
2

Preparation before the procedure

  • Discontinue or adjust the dosage of blood thinners 7 days before the procedure as agreed with the doctor
  • Have a light meal 2–3 hours before the procedure
  • Do not wear jewellery or nail polish in the area
3

Procedure

  • An outpatient procedure that loosens or removes excess ligament
  • The procedure takes 30–60 minutes
  • During the procedure, the blood supply to the arm is temporarily restricted to minimise bleeding
4

After the procedure

  • Immediate rehabilitation is important – from day 2
  • Passive and later active exercises
  • Hand fixation at night (3–6 months)
5

Follow-up

  • Regular checks-ups and management of the rehabilitation process

Do you want to know more?

Place yourself in the hands of experienced professionals – book a consultation at one of our clinics and together we will find the best solution.

Pavel Coufal, Perfect Clinic
Richard Billich, Perfect Clinic

Recovery

Aftercare

Increased restrictions: 1 week of rest after the procedure

Recommendations

Post-procedure recommendations:

  • Return to normal depends on the profession – usually 1–3 months
  • The need for regular exercise to maintain the outcome
  • Night fixation of the hand with a splint to prevent the return of contracture for 3–6 months

Contraindications

Possible complications

The treatment is not suitable for people:

  • With acute infection at the site of surgery
  • With severe general disease without stabilisation
  • Allergic to anaesthetics or disinfectants

Possible complications are rare and may include:

  • Bleeding, infections, nerve or tendon injuries
  • Scarring and re-limitation of mobility without rehabilitation
  • Disease recurrence – even after surgery, the condition can reappear


It is always important to consult your doctor about your medical condition before treatment.

Other services

For a perfect result

The procedure can be effectively combined with other services available at Perfect Clinic:

Surgery for de Quervain’s disease
Surgery for de Quervain’s disease

Effective solution to wrist and thumb pain

LED Phototherapy
LED Phototherapy

Skin revitalisation with light energy

Ganglion removal
Ganglion removal

Surgical treatment of cysts on the wrist and fingers

Price of treatment

Every patient is unique – to ensure the highest level of care and precision, each treatment plan at Perfect Clinic is tailored individually based on your personal needs and goals.

Please complete a short consultation form, and our specialists will provide you with a personalised treatment proposal and exact pricing.

Request a personalized quote

Your first step towards beauty and self-confidence

Do you have difficulty with straightening your fingers and have stiff tendons in your palm?

Place yourself in the hands of our experts at Perfect Clinic who can help you solve your problem.

Book appointment

Call us

Plastic surgery
Mon–Fri 7:00 – 19:00
+420 273 038 900
Aesthetic dermatology
Mon–Fri 8:30 – 17:00
+420 225 379 110
Plastic surgery & aesthetic dermatology
Mon–Fri 9:00 – 13:00, Wed 11:00 –19:00 
+420 513 033 763
Plastic surgery & aesthetic dermatology
Mon–Fri 8:00 – 16:00
+420 483 033 383

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