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second update after surgery
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12/07/2009 12:25
adrianh 
12/07/2009 12:25
adrianh 
second update after surgery

Hello,
I am due to go back to see my physio tomorrow, & would like to know what you think of my progress so far. I have attached 2 photo`s taken today, (12/07/09)
It is nearly 4 weeks since the operation, the wound seems to be healing nicely, using plenty of cream & as Newman suggests soaking the hand & trimming off dead skin & exercising. Also wearing the splint at night & during the day if I am sitting reading for an hour. I am slightly concerned that the finger is bending at quite a large angle (approx 45 dgs) from the pip joint (see photo)
Also there is a lot of tightness across the palm area around where the cutting took place, would you expect this at this time?
Any comments or suggestions I should raise with the physio would be welcome.
Adrian.

12/08/2009 07:04
wach 

Administrator

12/08/2009 07:04
wach 

Administrator

Re: second update after surgery

Adrian, I don't recall what your hand looked like before and how long your contracture had prevailed until you had surgery. Both determined the outcome to some extent.

On your picture also your MCP (base joint) is bent but I guess that's just a normal bending and you can fully straighten it?

If you keep wearing your night splint for another 3-6 months there is a slight chance that your PIP might still straighten a little. At least someone reported that in our German forum. I wouldn't wear the night splint for too long during the day, your fingers need to move to keep the joints flexible. Eventually, after your wounds healed fully, you might also try massaging your finger and your PIP maybe a little straighter.

Obviously also a part of your aponeurosis in the palm was removed and you will develop scarring there. I myself had a similar surgery (my hand is on the bottom of http://www.dupuytren-online.info/dupuytren_surgery.html with the cuts indicated). I experienced some tightness afterwards and have to admit that that never went away. I still have it, 9 years after surgery, but got used to it and it doesn't bother me anymore. My hand never became what it used to be but it is fully functional.

Wolfgang

12/08/2009 16:38
jimh 
12/08/2009 16:38
jimh 
Re: second update after surgery

Looks like normal healing. I think we all need to accept that surgery on the PIP joint may be only partially successful. My own opinion, based on my surgeries, is that very agressive physical therapy and splinting would be necessary to preserve the gain from surgery. But don't try anything extreme based solely on my suggestion - ask your surgeon and/or physical therapist.

12/09/2009 18:22
callie 
12/09/2009 18:22
callie 
Re: second update after surgery

Flexibility is very important. During the day you should be flexing your hand in both directions, making a fist and then flexing to a flat hand. Each day you should be trying to increase the range of flex. I only went to PT twice and then the rest was done on my own. My surgeon agreed that if a person was diligent, PT was not necessary. More importantly the individual PT should be done throughout the day.

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