Chirurgische Praxis Alstertal Heegbarg 14 22391 Hamburg Tel: +49 (0) 40 602 30 06
 

Dupuytren recurrence – Recidive SURGERY DUPUYTREN-extremly flexed Finger – DUPUYTREN HOPELESS – RECURRENCE DUPUYTREN

 

Hand Surgery and Surgical Practice Alster Hamburg Poppenbuettel – Tel: + 49- (0) 40-602 30 06

 

INFO

 

Due to the non-curability of Dupuytren disease, (even multiple) reocurrence of contracted Finger or contractures of the fingers and palm is not uncommon. Also, some patients wait until the  fingers are extremely curved, even touching the palm area.

Often the patient got the information that: “the Dupuytren is not longer operable”, or worse, “It is necessary to amputate the finger”.

 

THERAPY

 

General principle of treatment is in such (difficult) cases avoiding major damage of the finger. Also, damage to nerves or blood vessels should be avoided. Goal can often not be anymore to bring the fingers in a complete extension;

However,a realistic goal is  substantial reduction in the curvature and thus massive improvement in function of the hand.

Here is a typical “disaster case” and the follow up after treatment by Dr Peters documented.

Operating room

 

Depending on the findings, Dr. Peters performs a “two-step” operation. This means, first as a limited engagement only strang separation at essential areas in local anesthesia. This is done via mini-sections, which heal quickly. By this measure, the curvature is reduced to the extent that after a few weeks, the radical strang removal is possible. With the necessary experience and prudence good to very good results can be achieved.

 

The operations are performed on an outpatient basis under local anesthesia or Armnervbetaeubung.

 

What’s next

 

Preparatory OP

 

After the strang capping only a few days Plaster. Hand, since only minimal wounds, will be in normal condition very soon.

 

Main OP:

 

Stiff Plaster (thumb, index and middle finger mostly free) for 3 days. Little pain. Adequate pain killers supplied at the end of the operation. Frequently physiotherapy for a few weeks after the surgery necessary. Sick leave according to the activity for 2 to 4 weeks.

Here you can see a typical case documentation, Operations done by Dr. Peters in 2015

Disclaimer Info Pages

 Dear Patient, this page is made to inform you and provides essential information about medical issues.

We have published this page in good faith and based on our years of experience and  latest scientific findings.

Of course, a guarantee for  correctness and completeness can not be given in the rapidly-developing field of medicine. Even other doctors may disagree. 

However, we are convinced: You will be informed  useful and responsible. Nevertheless, we encourage you to gather information  also from different sources.

 
 
 

  • Dr. med. Stefan Peters
    Handsurgeon
    Trauma Surgery
    General Surgeon

    Dr. med. Stephan Berg
    Orthopedics
    General Surgeon
    Trauma Surgery

  • Hours of Service

    Monday
    8:30–11:30 + 16:00–17:30
    Tuesday
    8:30–11:30 + 16:00–17:30
    Wednesday
    8:30–11:30
    Thursday
    8:30–11:30 + 16:00–17:30
    Friday
    8:30–11:30

    fresh accidents
    (the same day):

    Monday to Friday 8:00–18:00 clock

    … and by appointment.

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