Dupuytren's contracture

Dupuytren's contracture

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Discussion

AW111

9,674 posts

133 months

Saturday 13th August 2022
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I had both little fingers done about 15 years ago.
Old-style op where they cut open the palm / finger and physically remove the buildup from the tendon.

One needed a small skin graft as the finger had been curled up for so long.

It was a great success. No recurrence, and I've still got full movement 15+ years on.

PositronicRay

Original Poster:

27,006 posts

183 months

Saturday 13th August 2022
quotequote all
AW111 said:
I had both little fingers done about 15 years ago.
Old-style op where they cut open the palm / finger and physically remove the buildup from the tendon.

One needed a small skin graft as the finger had been curled up for so long.

It was a great success. No recurrence, and I've still got full movement 15+ years on.
That's good to hear. thumbup

PositronicRay

Original Poster:

27,006 posts

183 months

Wednesday 9th November 2022
quotequote all
I saw the surgeon yesterday.

The left hand sounds fairly simple, some fiddling around with a needle, a dressing then back in action.

The right hand sounds more involved, so op, splints and out of action for 4-6 weeks. Reckons it'll be early new year.

Regbuser

3,455 posts

35 months

Wednesday 9th November 2022
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My op, scheduled for Dec, now pushed back to Jan.

You'll only be out of action for a fortnight I reckon, but does depend on your healing capacity.

PositronicRay

Original Poster:

27,006 posts

183 months

Wednesday 11th January 2023
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Nuts, I've been offered a date but had to decline due to some driving commitments the following week that I can't easily get out of.

Ruskie

3,986 posts

200 months

Thursday 12th January 2023
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Roughly speaking, each area is slightly different, but the finger needs to be 45 degree angle or worse, and painful/impacting life to qualify for a surgical opinion. Reality is the operation is a success but often the finger goes back to the pre operative position. As others have said its a painful operation as well.

AW111

9,674 posts

133 months

Thursday 12th January 2023
quotequote all
Ruskie said:
Roughly speaking, each area is slightly different, but the finger needs to be 45 degree angle or worse, and painful/impacting life to qualify for a surgical opinion. Reality is the operation is a success but often the finger goes back to the pre operative position. As others have said its a painful operation as well.
As I posted above, 15 years now post op, and still have full movement.
It wasn't that painful either.

This is the worse one: small skin graft at the base of my little finger, and a Harry Potter zigzag scar.
Pre op, I could straighten it to about 45 degrees.


Ruskie

3,986 posts

200 months

Thursday 12th January 2023
quotequote all
AW111 said:
Ruskie said:
Roughly speaking, each area is slightly different, but the finger needs to be 45 degree angle or worse, and painful/impacting life to qualify for a surgical opinion. Reality is the operation is a success but often the finger goes back to the pre operative position. As others have said its a painful operation as well.
As I posted above, 15 years now post op, and still have full movement.
It wasn't that painful either.

This is the worse one: small skin graft at the base of my little finger, and a Harry Potter zigzag scar.
Pre op, I could straighten it to about 45 degrees.

I said often, not always. My mum had it done, within 6 months was back to same angle. Seen multiple patients with it both pre and post op.

Bob-iylho

694 posts

106 months

Thursday 12th January 2023
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I just had a consultant referral, very interesting but told me to wait for a few years. Curl is about 30° on little finger, 20° on next finger, left hand only.

Regbuser

3,455 posts

35 months

Thursday 12th January 2023
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Right hand currently, unfortunately the thumb base is also suffering from collagen build up, so once I do go in it'll be a whole hand scalpel fest..


PositronicRay

Original Poster:

27,006 posts

183 months

Sunday 5th March 2023
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1st hand done last week, splint and dressing due to come off on thursday.


Bob-iylho

694 posts

106 months

Sunday 5th March 2023
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Just a quick check in. I have it in two fingers but not too bad at present so holding back on op. However recently in the little finger I have started to get an arthritic feeling in little finger and it's painful (very mild) to fully bend it. After lifting dumbells or weights in gym it sometimes feels like I have a cramp in that one finger, is this normal?

Regbuser

3,455 posts

35 months

Sunday 5th March 2023
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PositronicRay said:
1st hand done last week, splint and dressing due to come off on thursday.

thumbup

My op rescheduled for middle April

Regbuser

3,455 posts

35 months

Sunday 5th March 2023
quotequote all
Bob-iylho said:
Just a quick check in. I have it in two fingers but not too bad at present so holding back on op. However recently in the little finger I have started to get an arthritic feeling in little finger and it's painful (very mild) to fully bend it. After lifting dumbells or weights in gym it sometimes feels like I have a cramp in that one finger, is this normal?
I have suffered arthritic aching in both hands after doing manual labour, like digging or pulling on ladder rungs, etc. So it's not abnormal.

PositronicRay

Original Poster:

27,006 posts

183 months

Sunday 19th March 2023
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19 days since op, wound opened up a bit so late getting the dressings off. Dry now but swollen and stiff but much straighter.



elanfan

5,517 posts

227 months

Sunday 19th March 2023
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I enquired with local surgeon whether he offered early stage injectable treatment to dissolve the build up. Brief answer was it’s not licensed!

Going to be a huge problem if this develops as get on crutches bearing quite a lot of weight through my hands, will probably mean I can’t walk. Hope it stays minor.

drmike37

460 posts

56 months

Sunday 19th March 2023
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Moz said:
I'm 49 and have had 7 surgeries, including 3 skin grafts and a partial amputation.

It's my experience that you absolutely must go private. I've had so many hash jobs on the NHS that it impacted future surgical options.

Look up Donald Sammut. His care has been first class and he's cheaper than I expected.
7 surgeries either means you have very aggressive disease (do you also have Peyronie's?) or you actually had your surgery done by the cleaner.

The only differences going private makes are: timing, nicer hospital rooms and slightly worse access to physio/follow up. Not forgetting the massive bank balance issue!

They key to it is to make sure the person waving the scalpel is actually a hand surgeon, not a leg surgeon having a go. I'd not dream of doing hip replacements now, even though I could bash them out when I was a trainee to a suitable standard. Like anything, you have to be doing them regularly to maintain skills.

PositronicRay

Original Poster:

27,006 posts

183 months

Sunday 19th March 2023
quotequote all
elanfan said:
I enquired with local surgeon whether he offered early stage injectable treatment to dissolve the build up. Brief answer was it’s not licensed!

Going to be a huge problem if this develops as get on crutches bearing quite a lot of weight through my hands, will probably mean I can’t walk. Hope it stays minor.
I had it yrs ago, partially successful, but discontinued apparently.

Moz

34 posts

250 months

Sunday 19th March 2023
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drmike37 said:
7 surgeries either means you have very aggressive disease (do you also have Peyronie's?) or you actually had your surgery done by the cleaner.

The only differences going private makes are: timing, nicer hospital rooms and slightly worse access to physio/follow up. Not forgetting the massive bank balance issue!

They key to it is to make sure the person waving the scalpel is actually a hand surgeon, not a leg surgeon having a go. I'd not dream of doing hip replacements now, even though I could bash them out when I was a trainee to a suitable standard. Like anything, you have to be doing them regularly to maintain skills.
Hi, it's a combination of both - an aggressive case and the cleaner. On at least one occasion I had a general surgeon. I think it was in 2010 and the nurse suggested I try a different surgeon in future! Not an indication of confidence.

I have had 8 surgeries now. 5 on left hand and 3 on the right - first when I was 32 and latest at 50. Fortunately the problems are limited to the hands.

Regbuser

3,455 posts

35 months

Sunday 19th March 2023
quotequote all
PositronicRay said:
19 days since op, wound opened up a bit so late getting the dressings off. Dry now but swollen and stiff but much straighter.


Looks like a good outcome thumbup