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This surgical procedure removes or releases the thickened fascia in the palm, allowing the fingers to straighten. Depending on the severity, it can involve minimally invasive techniques or open surgery.
Progressive contracture affecting finger mobility.
Difficulty performing daily tasks due to curled fingers.
Contractures resistant to conservative treatments like splinting or enzyme injections.
Diagnostic Evaluation: Assess contracture severity through clinical examination.
Pre-Hab Program: Strengthen hand muscles and maintain joint flexibility.
Needle Aponeurotomy: A minimally invasive technique using a needle to break the thickened fascia.
Limited Fasciectomy: Surgically removing the affected fascia.
Dermofasciectomy: Removing the fascia and overlying skin, followed by skin grafting.
Duration: 1–2 hours.
Anesthesia: Local or general anesthesia, depending on the case.
Steps:
Incisions are made to access the affected fascia.
Thickened tissue is released or excised.
Wound closure is performed, and a dressing or splint is applied.
Hospital Stay: Typically outpatient.
Splinting: A splint may be used to maintain finger extension during initial healing.
Pain Management: Oral analgesics and anti-inflammatory medications.
1–3 Weeks: Initial wound healing.
4–8 Weeks: Resumption of light hand use.
12+ Weeks: Full functional recovery with physiotherapy.
Focus: Protect the surgical site and prevent stiffness.
Therapeutic Goals: Minimize swelling and initiate gentle finger movements.
Exercises:
Passive finger extension exercises.
Tendon gliding exercises.
Focus: Regain range of motion and improve grip strength.
Therapeutic Goals: Promote scar tissue flexibility and enhance hand function.
Exercises:
Strengthening with therapy bands.
Fine motor coordination activities.
Focus: Restore hand function for daily tasks and hobbies.
Therapeutic Goals: Optimize hand mechanics and prevent compensatory patterns.
Exercises:
Advanced grip and dexterity training.
Task-specific functional activities.
Stretching and strengthening exercises to prepare the hand for surgery.
Education on post-operative care and expected recovery milestones.
Personalized physiotherapy to restore hand mobility and strength.
Scar management techniques, including massage and desensitization.
Guidance on returning to work and recreational activities.
Light hand use for non-strenuous activities is usually possible within 2–3 weeks, but full recovery may take 3 months or more.
Recurrence is possible, but proper rehabilitation can help minimize the risk.
While surgery addresses structural issues, physiotherapy plays a crucial role in regaining mobility, strength, and function.
At Palms Physiotherapy & Allied Health, we specialize in supporting patients before and after Dupuytren’s Contracture Release surgery.
At Palms Physiotherapy & Allied Health, our experienced team is here to help children and adults manage their sensory condition and improve their quality of life.
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Better Health Channel – Dupuytren’s Contracture: https://www.betterhealth.vic.gov.au/dupuytrens-contracture
Health Direct Australia: https://www.healthdirect.gov.au/dupuytrens-contracture
Australian Orthopaedic Association: https://www.aoa.org.au
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