My husband is 37 and already had surgery on his right hand over 5 yrs. ago (by a horrible "plastic surgeon"- we were uninformed at the time). The contractures have returned with much greater force and his hand is severly malformed. It barely opens more than 90 deg. and all the digits are affected, including his thumb. His left had is less severe but also needs treatment. We desperately need to get help but don't know where to start- we are new to the Dallas area. Because his dominant hand has already been poorly operated on, is badly scarred, and the disease is so progressed, I'm uncertain of his options at this point. How can I go about finding a progressive, educated, experienced specialist for him to see in our area that will utilize every available treatment? We need the best to turn his condition around. Any advice is greatly appreciated.


Dallas

Everyone's situation is different. Because there is a recurrence of contraction, it is not necessarily the type of procedure or the surgeon that is at fault. Some people have a very aggressive condition. I had surgery over six years ago and had what I would consider perfect results (0 degrees contraction, full strength and no visible scar tissue). My little finger was at 90 degrees contraction and ring finger about 45 degrees. Presently, there is no sign of Dupuytren's.

Some people have very good success with NA, while others have very limited success. It is not the particular procedure that is good, or bad. The patient's situation is crucial. It is very important to have a very experienced practitioner performing the procedure, however.