Dupuytrens Contracture (Release)
Dupuytrens Contracture (Release)
Dupuytren’s Contracture Release Surgery is a Treatment used to correct Dupuytren’s contracture, a disease that usually begins with a thickening of the skin in the palm of the hand. Eventually, the disease may develop into a thick band that could make your fingers contract or pull into the palm of your hand. The exact cause of Dupuytren’s contracture is unknown, though it is thought to be a hereditary disease and not related to overuse or injury of the hand.
FAQS
Frequently asked questions about surgical procedures
Can I use my insurance and get these prices?
Payment is due 14 calendar days prior to your surgery date. If, after the cutoff, your account is not settled, your case must be postponed.
How quickly can I have surgery?
How will I meet my surgeon?
If I had a car or work accident, would you work with my employer or attorney for payment?
What if I get sick right before my surgery?
You could develop a respiratory infection, a urinary tract infection, COVID, or some other condition that may necessitate postponement. There is no penalty when this happens.
What’s Included:
- Facility fee
- Graft and hardware costs (if needed)
- Surgeon and assistant surgeon fees
- Anesthesiologist
- Time in the recovery unit (at no additional charge)
- Initial consultation visit
- One post-operative visit
*Please note: If you choose not to proceed with surgery after the initial consultation, or if you delay your procedure for more than 6 weeks, you will need to update your consultation at a cost of $375.
What’s not included:
- Lab testing before and after the surgery, as needed
- Electrocardiogram (EKG), depending on age. If you had one elsewhere in the past 6 months and it read “normal”, we can forego this expense.
- Imaging costs. X-rays and MRIs can be obtained anywhere.
- Physical therapy services
- Medications you’ll need (oral or IV antibiotic infusions if an infection arises)
- Wound care
- Bracing supplies
- Additional doctor visits (a pre-operative visit with the surgeon, in person, and any required post-op follow-ups after the suture removal to monitor your progress
- Additional surgical intervention if a complication arises
- Additional imaging or hospital care if a blood clot develops
Preparation for Dupuytrens Contracture (Release)
Tell your health care provider what medicines you are taking. This includes medicines, supplements, or herbs you bought without a prescription.
- You may be asked to stop taking drugs that affect your blood’s ability to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), and other drugs.
- Ask your health care provider which medicines you should still take on the day of your surgery.
- If you smoke, try to stop. Ask your health care provider for help. Smoking can slow healing.
- Let your health care provider know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.
- You will usually be asked not to drink or eat anything for 6 – 12 hours before the procedure.
- Your health care provider will tell you when to arrive at the office. Arrive on time.
Dupuytrens Contracture Surgery
During Dupuytren Contracture Release surgical treatment, the surgeon makes an incision in the hand and cuts the area of thickened tissue. This allows for improved movement of the tendons and increases finger mobility. It is a very precise surgery, because the nerves in the hand are often in this area of thickened tissue. Sometimes skin grafts are needed to replace the overlying skin. Skin grafts are performed by taking a piece of healthy skin from another area of the body (called the donor site) and attaching it to the needed area. After surgery, physical therapy helps increase strength and function
What to expect after your surgery
Recovery
After Dupuytrens Contracture (Release) Surgery, it may help to elevate your hand above your heart and gently move your fingers. This may help relieve pain, swelling, and stiffness.
Your doctor may refer you to a physical therapist. Your therapist can teach you exercises to improve strength and function and improve your healing.
Some surgeons may recommend a hand splint to aid comfort and improve the position and function of your fingers. Splinting, however, is not always beneficial.
You will be encouraged to return to your activities as soon as you can.
Risks of the Procedure
Both open surgery and needle aponeurotomy have a high rate of recurrence of contractures. Also, open surgery can lead to an exaggerated reaction to the wound.
Other complications of surgery include:
- Swelling and soreness
- Injury to nerves or blood vessels
- Infection
- Tissue death
Can I Travel to St George for Surgery?
Yes, and we’ll help you make all your arrangements.
- We have arrangements to try to obtain free flights through a non-profit volunteer pilot organization. We can do this with 10 days’ advance notice in most cases.
- We have discount codes for the Holiday Inn in town. This hotel is 1.5 miles from the surgery center and 2 miles from our clinic.
- We’ll arrange to send your after-surgery medications to your hometown pharmacy for pickup before you leave.
What if I would rather drive to St George?
No problem, we can help with those plans as well. When you have surgery with us, we’ll need to make sure you’re safe and comfortable after surgery. We’ll arrange cold compression therapy that requires an AC/DC adaptor/transformer and frequent stops to stretch and refill the ice reservoir on the road.
We’ll ask about the vehicle you’ll travel in to ensure you have a way to elevate and stretch out in the vehicle on the road while someone else does the driving.
How are follow-up and initial consultations handled?
In-person and telehealth consultations are possible with the surgeon to whom your case is assigned. The initial visit is included in the surgical package and is valued at $375.
We can also obtain the flights from the volunteer pilot nonprofit if you’d like to come for initial and follow-up visits in person. One follow-up visit is included in the surgical package at a value of $175. Any additional visits are charged at the time of service to your credit or debit card.
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