Dupuytrens Contracture Surgery Melbourne
What is Dupuytren’s Contracture?
Dupuytren’s contracture is a condition affecting the intricate tissue planes in the hand, leading to a malfunction that disrupts the smooth movement of bones, ligaments, tendons, nerves, and arteries. It often begins as a lump resembling scar tissue in the palm or fingers and progressively forms thick bands or cords that extend from the palm into the fingers. As the disease advances, it pulls the fingers into a curled position, eventually making the fingers non-functional unless treated.
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Consultation for Dupuytren’s Contracture
If you notice any lumps in your hand or experience difficulty straightening your fingers, it’s essential to consult with a specialist. During your consultation, Plastic surgeon and specialist wrist surgeon Dr. Crock will evaluate your condition and discuss the most appropriate treatment options.
Symptoms & Progression
- Initial Symptoms: A lump or nodule in the palm.
- Progression: Formation of thick bands that pull fingers into a bent position.
- Advanced Stage: Fingers become permanently curled, leading to significant hand dysfunction.
About the Procedure
Surgery for Dupuytren’s contracture is complex and should be approached with caution due to the unpredictable nature of the condition. While some cases may appear straightforward, the changes in hand anatomy caused by the disease require meticulous surgical intervention. The surgery involves microsurgical dissection of nerves and arteries, along with the removal of diseased tissue infiltrating the hand’s layers. At Knox Plastic Surgery, we take the necessary measures to mitigate the associated risks. Dr. Crock has an extensive 30-year background in performing surgery for Dupuytren’s contracture.
Potential Risks and Complications
As with any surgical procedure, Dupuytren’s contracture surgery carries some risks, including:
- Nerve Damage: Due to the proximity of nerves, there is a risk of nerve injury during surgery.
- Regional Pain Syndrome: A potential complication that can cause chronic pain post-surgery.
- Extensive Recovery: Post-operative care requires the expertise of hand therapists to rehabilitate tissue planes and guide scar development for maximum functional recovery.
Dr Crock will discuss these risks with you in detail and will take every precaution to minimise them.
Outcomes of Dupuytren’s Contracture Surgery
Successful Dupuytren’s Contracture treatment can significantly improve hand function, allowing patients to regain their ability to perform daily tasks. However, the recovery process is extensive, and outcomes depend on the severity of the disease and the precision of post-operative care.
Dupuytren's Contracture Causes
The exact cause of Dupuytren’s contracture remains unknown, although there are strong genetic links, particularly among individuals of Scandinavian descent, leading to its nickname, “Viking Disease.” The condition is prevalent among elderly men and women in Northern Europe and the UK.
Work-Related Factors
There is ongoing debate about the relationship between Dupuytren’s contracture and occupations involving manual labour, vibrating tools, and exposure to cold environments. While some studies support these associations, others do not, leading to inconsistent coverage by insurance for work-related cases.
Dr John Crock
No. MED0000991852
Dr John Crock is a Hand and Plastic Reconstructive Surgeon who is qualified with MBBS, DIPANAT, MD and FRACS.
Dr Crock completed his medical qualifications at Melbourne University and gained further experience through a fellowship with the Royal Flying Doctor Service, serving in the Kimberley Ranges of Western Australia, particularly with the Indigenous population. His extensive expertise includes treating skin malignancies and reconstructing hand and orthopaedic injuries.
Throughout his career, Dr Crock has been recognised for his contributions to medical research and surgical excellence. His awards include:
- The Surgical Research Society’s Young Investigator Award
- The Plastic Surgery Education Foundation Award (USA) in 1989
- The Johnson & Johnson Clinical Research Award
- The Australasian Plastic Surgery Registrar’s Research Award in 1992
Dr Crock’s dedication to both his field and patient care has earned him a prominent reputation in the medical community. Book a consultation with Dr Crock today.
