Dupuytren contracture treatment
Restoring finger mobility in palmar fibromatosis.
Dupuytren contracture is a progressive condition that causes one or more fingers to become fixed in a bent position due to changes in the palmar fascia. Although the disease is rarely painful, it reduces quality of life. It begins with small nodules forming under the skin of the palm, which then develop into dense cords that pull the fingers towards the palm and limit their extension. The ring finger and little finger are most often affected.
In the early stages, the disease develops slowly. However, as it progresses, surgery is the only way to restore finger function.
Diagnostics include an assessment of finger mobility, a visual examination and palpation of the palm. Additional instrumental examinations, including X-rays of the hand, may be prescribed. In complex cases, a biopsy is performed to rule out other connective tissue diseases.
In the early stages, treatment may be limited to nonsurgical therapy. This involves using medications aimed at destroying fibrous bands and hormonal blockades. Patients may also be advised to wear a splint to keep their fingers straight while sleeping. If the disease has progressed significantly, resulting in a pronounced flexion deformity of the fingers, surgical intervention is required. There are several methods, ranging from percutaneous aponeurotomy, where the bands are cut without making incisions, to open aponeurectomy, where pathologically altered tissues are completely excised. Following any intervention, it is essential to undergo rehabilitation under physical therapist supervision.
We use advanced microsurgical equipment and instruments that help us perform procedures under magnification with minimal trauma.
The duration of recovery depends on the degree of flexion deformity. Hand function can be restored within a few days after surgery, with full recovery occurring after 1–3 months. During the rehabilitation period, it is important to perform the exercises prescribed by the physiotherapist and follow their recommendations regarding physical activity.
Benefits
Low risk of recurrence
After treatment, the risk of recurrence is minimized.
Advanced surgical methods
Provides a quick return to an active lifestyle.
Minimal intervention
Some forms can be treated with injections and physical therapy.
Hand function recovery
Helps restore finger mobility and normal activity levels.
Frequently Asked Questions
Can the contracture reappear?
When should surgery be performed?
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Врачи
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Doctor of Medical Sciences, Professor. Hand surgeon, orthopedic trauma surgeon, plastic surgeon, microsurgeon. Scientific Director of the Hand and Microsurgery Center. Chairman of the Interregional Public Organization “Hand Surgery Society”
Orthopedic trauma physician, hand surgeon, microsurgeon
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How to reach
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign
From the metro station "Tsvetnoy Bulvar"
1 exit to the city, then left to the Garden Ring, at the crossing to the right, crossing the boulevard, one more crossing and at the traffic light to the left. The Olymp Clinic building is located overlooking the Garden Ring to the right of the crossing. Travel time is approximately 9 minutes. Landmark - sign Olymp Clini
From the metro station "Sukharevskaya"
Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic
Parking lot map
Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic
From Sokol metro station
The last car from the center: follow the signs for Exit 5. From the glass doors to the right and go to the end of the passage. Exit to the city by the steps to the left. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn right (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.
Travel time
10-12 minutes
From the Airport metro station
The first car from the center: follow the Exit 2-3 signs. Turn left out of the glass doors and walk to the end of the passage. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn left (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.
Travel time
12-15 minutes
How to get
Entry to the territory is prohibited, but there are free city parking lots around the Triumph Palace residential complex, where you can easily find a place for your car. Free parking area:
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign