DUPUYTRENS’ DERMAFACIOTOMY

DUPUYTREN CONTRACTURE

Dupuytren contracture is a disease characterized by the gradual cure and withdrawal of this thin covering under the skin, which covers the movig structures of the hand (such as tendons and beams) and it is known for some reason, although there is no problem at the bottom. It usually starts in the hand, but in the future, it may affect the functions of the hand in a serious way. Sometimes the footplate and penis may have similar contractures and pulls. Diabetes, alcohol use, pancreatic disorders and the use of certain medications lead to a heavier illness. It is also believed that the sooner a sooner person gets caughts in this disease, the sooner the illness will look.

Non-operative treatment methods can be tried early in the duodenal contractile period. Corticosteroid injections may benefit partly from physical therapy agents. However, if there is a withdrawal feeling that palm cannot be placed on the table, surgery is a more accurate option. Because in the presence of a contracture extending to the fingers, the operation is more difficult.

OPERATION TECHNIQUE

Dupuytren contractures have difficult surgical methods. Various techniques can be applied, ranging from the opening of the contracture to the removal o all diseased faunal tissue. The most common manifesations of the dupuytren contracture are the contractures that occur from in the fourth finger and elbow of the thumb to palm. All fingers can have a sore in advanced stages.

OPERATION PROCEDURE AFTER OPERATION

The operation can be done by general anesthesia or just by numbing the arm. At the end of the surgery, a gauze dressing and a gypsum splint for giving the hand a relief are used. This practice lasts about 10 days. After 10 days, the hand and fingers are allowed to be moved. Especially in the case of dupuytren contractures holding the finger, intensive physical therapy and rehabilitation may be necessary.

RISKS OF METHOD

Nerve Damage and Drowsiness: This situation is very rare. However, especially in the dupuytren contractures holding the finger, the contracture tissue may surround the nerves at a higher level and the nerves may be damaged during the operation. If this is noticed during surgery, the nerve is repaired. Usually the senses heal without any problems.

Skin Loss: Dupuytren contracture may not be deeply a skin ill, but sometimes it may affect the skin texture, thinen it or may disturb circulation. In such cases, skin circulation may be impaired during cleaning of the contract product. Skin transplants or long dressing processes may be required.

Infection: It is very rare. However, if any contamination is occurred, there may be ituations requiring dressing or surgery in the operating area.

Hemorrhage: As in all surgeries, hemorrhage may occur in the operation of opening the dupuytren contracture. Especially those who use aspirin and anti-inflammatory drugs may bleed during or after surgery if these drugs are not reduced before the operation. This is usually a controllable bleed. Rarely may require a second intervention.