Dupuytren’s contracture

Dupuytren's contracture

Movement without limitations,

stiff and rigid body parts

and unnecessary shame!

It does not matter for some people, while for others it makes everything worse. Dupuytren’s contracture does not hurt, however, it may be tricky at an advanced stage. It can be revealed quite easily, but it can not be predicted. Causes are not known, but there are a few methods of treatment. At PRIMED Clinic, we will do our best to make patients able to move with their hands without any restrictions.

Are you also affected by this problem? Then visit us. At our clinic, we understand your situation and we will help you.


The price depends on the extent of the hand disability and the severity of the procedure. The exact price will be provided at a free consultation. Do not hesitate and make an order!

What is Dupuytren's contracture?

Dupuytren’s contracture is actually hypertrophy of the palm ligaments. It was named after Doctor Guillaume de Dupuytrena and is showing through a permanent bend of the fingers. Exceptionally, it may occur on the leg or penis. If you suffer from it, you will know it quite easily. The main symptom is the inability to fully stretch your finger. The ligaments going from the palm to a finger are stiff, they do not hurt, but you can feel them.

Causes are not known. It is estimated that genes are the cause, it may also be related to diseases (diabetes, epilepsy), bad habits (alcoholism, smoking), minor accidents, operations and manual labor.

There are several methods of treatment. For symptoms to slow down, it sometimes helps to exercise by stretching tendons and muscles. In addition, collagenase injection may be introduced directly into the stiff thread. The ligaments will dissolve and after 24 hours the doctor will stretch the finger out. And then there is still a surgical solution.

Whom may a surgical treatment help?

Subcutaneous nodes and strips usually restrict movement, so it is no wonder that patients are bothered in their everyday life.

Surgical removal of the Viking disease (what Dupuytren’s contracture is called) is suitable for all patients for whom other treatments have not been successful.

If the disease is only discovered at a later stage, it is quite possible that other methods will no longer be viable to deal with it.

There is always a risk of relapse, but we do our best to get rid of these unwanted problems.

For whom is it not suitable?

For obvious reasons, the surgical procedure is not performed for pregnant and breastfeeding women. Smokers can expect a more complicated healing.

With regard to current illnesses such as influenza, we need to wait until you get fully recovered. Only the healthy body can cope well with the surgery.

It may not be operated even when there is a skin condition on your hands.

You will learn the most when you come to us for a non-binding personal consultation. Every case is evaluated individually.

If you are bothered by Dupuytren's contracture, come to us at our clinic for a non-binding consultation. Our experts will help you solve this problem.

Erik's story: I never heard of Dupuytren's contracture before

When I first got diagnosed with Dupuytren’s contracture, I did not know about this disease. I did not know anyone who suffered from it, and I did not understand why it chose me. I managed to uncover it in the early stages, there was no pain, it was just hard to move with the finger. I was offered several solutions, I chose surgery. Although it is not the easiest, it usually has a good result.

At PRIMED Clinic, I was commended for coming at such an early stage. The surgery is easier as well as the recovery process. In truth, healing seemed long and certainly not easy, but after a few months, I could enjoy my finger having regained its movement. I know the disease can come back at any time, but I do not fear it. I know it has a solution.

We can find the solution for you too. Bad finger mobility significantly limits your life, come to us and get rid of it.

What is the preoperative preparation like?

During the consultation, your doctor will explain what you can expect from the surgery, how to recover and what we may expect from the results. It should be noted that despite all our efforts, the disease may be at a very advanced stage, and after the intervention, the limited movement of the finger may persist. The doctor will explain everything to you.

You should stop using blood thinners (Warfarin and others), acetylsalicylic acid preparations (aspirin, acylpyrin, and others) and enzyme preparations. At least for a few weeks, you have to give up smoking. This is a procedure performed in local anesthesia, so you will need a basic preoperative examination.

How does Dupuytren's contracture work?

The surgical solution releases solidified ligament tissue and stiff tissue. This procedure is called aponeurectomy and, as a rule, it is effective even in advanced forms, but may leave you with skin defects which will then heal on their own with time.

The second variant is aponeurotomy, ie interruption of the individual stiff threads in the palm. This is an alternative in cases where total treatment is not possible. But the fingers may only be partially released.

The procedure takes one to two hours based on its complexity and is done outpatient so you can go home after it. You will have to follow certain measures.

What is post-operative care like?

On the first days, the palm remains in a plaster to keep it resting. Keep it in an elevated position, clean and resting. After removing the plaster, persistent rehabilitation is very important. You can do it yourself, exercise on your hand, stretch your fingers and bend them, massage the scars against the swelling. Pressure massages prevent coalescence and are really important.

Sick leave is essential, but it is difficult to estimate its length. It varies from one to three months, depending on the profession being performed. Hard work should be avoided for several months, office work can be performed roughly after a week or two.

The final result of the surgery may be evaluated after two months at the earliest. Your postoperative care is very important if you want to avoid recurrence.

Can some complications occur?

The most common problems include bleeding, infections, healing disorders, scarring. There is also a risk of injury to the blood vessels and nerves, although very small. It would show through tingling or limited sensitivity of the fingers. Otherwise, general problems such as patient allergies to anesthetics, sewing material, disinfectants, skin necrosis, etc. may occur.

The most common complication is a relapse. Unfortunately, we can not prevent Dupuytren’s contracture from appearing, for example, on an adjacent finger, but sometimes it may also appear in places already operated.