Restoring the function of the hand as much as possibleDupuytren’s contracture can nowadays be treated effectively using different therapeutic approaches.
Alongside Dupuytren surgery, our specialists at Schoen Clinic also offer minimally invasive Dupuytren treatment. As part of minor procedures, we can often eliminate growing connecting tissue strands in your hand through the use of medication or fine needles as well.
Conservative treatment methods
Dupuytren’s contracture treatment: new treatments as alternatives to Dupuytren surgeryTwo minimally invasive outpatient procedures are available for your Dupuytren treatment.
If the connecting tissue strand is very pronounced and clearly felt, our hand surgeons can treat this using medication (collagenase/enzyme treatment). The enzyme collagenase is injected directly into the thickened connecting tissue strand to weaken it
After 24 hours, the strand is weakened so much that the hand surgeon can break it using targeted over-stretching of the palm. You’ll only need to come into the hospital briefly on two consecutive days for this treatment. You won’t need any anaesthetic or have any open wounds. Your hand will have a splint for a day, and you’ll already be able to fully use it again the next day.
Crookedness in the base joint and a clearly noticeable connecting tissue strand can also be treated using a fine needle (PNF stretching/needle fasciotomy). Under local anaesthesia, we prick the connecting tissue strand through the skin. This can then be weakened through enzyme treatment for example and even broken.
However, half of patients continue to have issues after outpatient treatment around three years later. So an individual decision will also need to be made about what treatment methods are currently most suitable for improving your quality of life.