Dupuytren’s contracture

Choosing to undergo hand surgery is a personal decision. It’s important to balance the potential benefits — such as improved function and comfort — with the possible risks and limitations.

During your consultation, every aspect of the procedure will be discussed with you, including:

• The goals and expected results
• Alternative treatments
• Potential risks and recovery process

Before surgery, you will be asked to sign a consent form confirming that you understand the planned procedure and its possible risks or limitations.

Although complications are rare, all surgical procedures involve some risk.

These may include:

• Allergic reactions to adhesive tape, sutures, medications, or anaesthetic agents
• Bleeding or hematoma formation
• Infection
• Anaesthesia-related risks
• Injury to nearby nerves, blood vessels, tendons, or muscles (temporary or, rarely, permanent)
• Changes in skin sensation or prolonged numbness
• Persistent pain or stiffness
• Poor or delayed wound healing
• Unfavourable or visible scarring
• Skin swelling, discolouration, or contour irregularities
• Unexpected hand swelling
• Need for revisional surgery

These complications are uncommon when surgery is performed by an experienced surgeon following appropriate preoperative and postoperative protocols.

Proper preparation supports a smooth procedure and faster recovery. Before your surgery, your surgeon will give you personalised preoperative instructions.

You may be asked to:

• Complete blood tests or a medical evaluation to confirm fitness for surgery
• Take or adjust current medications as directed
• Stop smoking several weeks in advance to promote better circulation and healing
• Avoid aspirin, anti-inflammatory drugs, and certain herbal supplements that can increase bleeding risk

Following these guidelines carefully helps ensure a safer surgery and optimal healing.

To ensure your comfort, local anaesthesia is used to numb the hand completely. The surgeon makes several small zig-zag (Z-shaped) incisions over the affected area to access and carefully separate the tight fibrous bands from surrounding tissues. Once the constricting tissue is removed, the fingers can be straightened and moved freely again. The incisions are closed with fine, non-dissolvable sutures, and a light dressing or bandage is applied. As swelling decreases, hand motion gradually improves. While noticeable improvement appears within a few weeks, final results may take several months as tissues soften and strength returns. Your surgeon may recommend hand therapy or physiotherapy to help regain optimal flexibility and function

After your operation, your hand will be covered with sterile bandages or dressings to keep the surgical site clean.
You will receive specific postoperative care instructions, which may include:

• How to care for your hand and dressings
• Which medications to use for pain, swelling, and infection prevention
• When to return for your follow-up appointments

Careful adherence to postoperative instructions is vital for a smooth recovery. A customised hand therapy program may be recommended to restore motion, strength, and flexibility. This may include gentle exercises, massage, and stretching techniques under the supervision of a certified hand therapist. Avoid using the hand too early — premature strain can delay healing or cause injury. Be patient, attend all follow-up visits, and remain consistent with your therapy plan.

Your long-term results depend largely on your commitment to postoperative care and rehabilitation.

By following your surgeon’s and therapist’s guidance, you can expect:

• Improved hand movement
• Reduced tightness and discomfort
• Stronger, more functional grip
• A smoother, long-lasting recovery

With proper care, surgery for Dupuytren’s contracture can significantly restore hand function and improve quality of life