Second day after 5th surgery on right hand involving ring finger mostly but spreading to base of little finger. My ring finger was bent 90 degrees and was described by the two surgeons who worked on it as a category 4++++.
In total I have had 10 operations, 5 on each hand in the last 17 years and have lost 50% of my left ring finger because after the last surgery on it in 2007 I was left with a finger just as bent as before the operation but without any feeling in it from the first knuckle to the end of the finger so it had to be amputated to allow me to put on my protective gloves at work
I have had a succession of orthpaedic surgeons who have talked the talk but ended up just having a go at an operation they rarely do or have never done before.
I had my last procedure at the One Stop Wide Awake Surgery in Boston Lincs England and I feel I have to go onto a forum like this as for the first time in 17 years I have met two surgeons who actually know what the disease is and are practising forms of treatment that are relevent and also designed to minimise the need for further surgery.
The father son Bismil combination at Boston are second to none and I know if they had been around 17 years ago I would still have 10 fingers and possibly I would'nt have had to undergo so many ops with the added danger of general anaesthetics.
The Bismals perform the procedures under local anaesthetic and it is done with minimal fuss within 45 mins no matter how severe the deformity.
I welcome any comments.

Sounds interesting http://www.onestopwideawake.co.uk/index.html

"no tourniquet" sounds interesting as I'd read adverse reports on this forum about the procedure.

It looks like only relatively straightforward cases are pictured although it is interesting to see a straight cut used rather than zig zag.

Thankfully treatment of Dups will improve as medical science moves forward but the Holy Grail, as with all diseases is stopping or dealing with it quickly and effectively at source.

The one other thing I'd say is that the 2nd picture down on the homepage showing those two inflamed nodules is very much like the two nodules I had in my palm in line with my little finger before I had radiotherapy. The nodule nearest my little finger has gone and the one below it has virtually gone. On the whole I don't thing any surgery is a bed of roses no matter how nicely it is dressed up so would still rather avoid if at all possibe?

Cambidgeshire, UK.

We thank our patient for his impromptu feedback.

The responses also raise some interesting points.

Our expertise is in the area of 'wide awake' fasciectomy as popularised by Nelson, Lalonde, Denkler and others in North America.

Our Royal Society of Medicine paper is as far as we are aware the largest UK experience.

Please search wide awake fasciectomy online.

We would add that our experience plus the historical and vital paper by Mr Robbins Plastic Surgeon from the Annals of The Royal College demonstrates that straight incision with or without Z plasty is a logical technique, but moreover is more applicable to the wide awake procedure than zig-zags.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2493820/

As the experience of our patient demonstrates the wide awake fasciectomy is a very good option for the low risk treatment of Dupuytren's contracture.

http://shortreports.rsmjournals.com/content/3/7/48.full

We would be happy to answer any questions from patients or colleagues on wide awake fasciectomy.

MSK and QMK Bismil

Edited 10/18/12 14:00