Fasciotomy / Fasciectomy for Dupuytren's fracture

What are the symptoms of Dupuytren's contracture?

Abnormal thickening of the skin of the palm, causing the finger(s) to bend into the palm and preventing normal extension of the fingers. Tenderness in small nodules that occur on the palm due to the hardening and thickening of connective tissue under the skin.

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What are the causes and risks factors for Dupuytren's contracture?

There is no clear evidence for the causes or risk factors for Dupuytren’s contracture, but the following are possibilities: It tends to occur in diabetics, alcoholics, epileptics being treated with phenytoin, and those suffering from liver disease. Hand injuries or certain occupations may put you at higher risk for developing Dupuytren’s contracture due to overuse of the hand, but the condition does not only occur in the dominant hand. It is found more frequently in men than women and usually occurs in those over 40. It occurs more commonly in those with a family history (60%) and those with cirrhosis (70%).

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How is Dupuytren's contracture diagnosed?

From medical history and the symptoms mentioned previously. From a tabletop test that assesses if the patient can spread their fingers to place their palm directly onto the top of the table. If they are not able to do so, the doctor will grade the condition as mild, moderate, or severe, depending on the bending of the palm.

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Can I travel after the procedure?

You should plan to stay in Thailand for at least one week through the duration of the treatment. This may vary from person to person, depending on your individual health and medical condition before the procedure as well as your age. Certain factors may require a longer stay in Thailand. When you return for your follow-up appointment you will undergo a physical examination and your wound will be checked. You will receive documentation of your treatment history, a medical certificate, and your “fit to fly” certificate. You may travel by car, but keep your affected hand elevated above your heart. Normally patients can travel home by air. Please discuss this with your doctor to confirm that you are healthy enough to fly before making flight arrangements. Be sure to let the airline know in advance if you will need a wheelchair at the airport and when you get off the airplane at your destination. If you are traveling in First or Business class: You can adjust or recline your seat normally. Exercise your leg muscles regularly while you are in the air by flexing and pointing your toes. Take 10 consecutive long deep breaths every hour to improve blood circulation. Drink at least 2,000 to 2,500 milliliters of water each day. Avoid caffeine, sedatives, and alcohol. If you have been instructed to wear a sling, be sure to keep it on through the duration of your flight. You may remove it when you recline your seat to sleep. If you are traveling in Economy Class, be sure to select a seat in the exit row or a bulkhead seat. You can recline your seat normally. Exercise your leg muscles regularly while you are in the air by flexing and pointing your toes. Take 10 consecutive long deep breaths every hour to improve blood circulation. Please get up and move around at least every 30 minutes. Drink at least 2,000 to 2,500 milliliters of water each day. Avoid caffeine, sedatives, and alcohol. If you have been instructed to wear a sling, be sure to keep it on through the duration of your flight.

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What is the success rate?

The success of this procedure depends on many factors. Please talk to your doctor about the possible results of this procedure.