Plastic & Reconstructive Surgeon in Perth

Dupuytrens contracture

Dupuytrens contracture is a common hand condition

It has a genetic basis and is more frequent in people of Celtic origin. It may first be seen as “pits” or nodules in the palm, but slowly develops cords running in the palm and into the fingers. These cords are not tendons, but can pull the finger down into a bent posture.

When the bend in the fingers cause functional problems, surgery may be required. Other less invasive procedures may be of benefit in circumstances where surgery is contraindicated. In some cases, a non-surgical enzyme injection (Xiaflex – Collagenase) may breakdown a small portion of the cord to allow the finger to straighten.

Depending on the severity of the bend in the finger before treatment, a full-thickness skin graft may be required as well as post-operative splinting and Hand therapy. Full correction may not always be possible, but the best treatment option and likely outcome will be discussed with you before treatment starts.

Collagenase consent form

Hand

Call us for more information

08 9388 7766