Percutaneous treatment of Dupuytren’s disease consists of a release of the fibrosed aponeurosis. This technique has been known for a long time but has become more and more popular over the past few years. The goal of the treatment is to decrease the limitations associated with the fibrosed palmar aponeurosis.

During the treatment, your surgeon will make tiny holes with a needle tip. The treatment will allow the release of the fibrosed band and the release will be completed during finger extension. This procedure is performed under local anesthesia. When you meet with your surgeon, he will discuss with you the details of the procedure. The procedure is simple, lasts around 15 minutes and is successful in the short and mid term.

Local anesthesia allows the percutaneous treatment of Dupuytren’s disease without any pain. Your usual activities can be resumed after the procedure. Recurrence at 5 years is estimated at 50%. The simplicity of the treatment allows it to be repeated if necessary.

In some forms of the disease, treatment with percutaneous technique is not possible. Thus, the standard treatment by open surgery or the Xiaflex may sometimes be appropriate avenue. A discussion with your surgeon and review your illness you will have a fair idea about the possible treatments for you.

Xiaflex, a treatment by injecting collagenase enzymes in the palm of the affected hand is now available in Canada. The results of this medical treatment without surgery are surprising. Many Canadian patients have had the chance to benefit from this treatment. If you are interested by this Xiaflex collagenases treatment visit the Xiaflex section of this website and contact us at 514-939-1416 extension 4.

Risks

The risk of complications associated with percutaneous treatment of Dupuytren’s contracture is rare because it is not an invasive surgery. When they occur, complications are, in most cases, only temporary.

The main risk associated with the percutaneous treatment of Dupuytren’s contracture is that there is a slight accumulation of blood under the skin following treatment. If this complication occurs, it will disappear within days of treatment. Also, good hygiene is recommended to reduce the risk of infection. You will wear a bandage for a few days on your hand. Thereafter, your surgeon will advise you to wash your hands with soap and water.

Clean hands regularly, and thoroughly dry the area of the percutaneous treatment of Dupuytren’s contracture. You might have a slight swelling or discomfort that will disappear within days of the percutaneous treatment of Dupuytren’s contracture. Anti-inflammatories may also help reduce pain, if necessary.

You can discuss your percutaneous treatment of Dupuytren’s contracture and its other risks with your surgeon when you meet with him.

To learn more about hand surgery and Dupuytren’s Disease, please contact us at (514) 939-1416, ‎extension 4.

You can also visit Dr Mario Luc’s website at: www.ChirurgieInnovation.ca