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Plastic surgery for Dupuytrens
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12/05/2000 23:01
Betty Frampton

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12/05/2000 23:01
Betty Frampton

not registered

Plastic surgery for Dupuytrens

I had surgery on the small finger of my left hand 18 months ago. I was left with quite severe scaring and some nerve damage. After six months nodules appeared in the palm below the little finger and my finger started to turn in again. The first Op was conventional open hand surgery. I have now been offered plastic hand surgery. The consultant tells me that by using skin from another part of the body to mend the wound this should prevent the nodules from re-occuring because the cellular structure of the skin from my leg will not contain Dupuytrens DNA.

I can find no postings on the site on the types of open hand surgery which is used. Does any reader have any experienbce of this type of plastic hand surgery?

Thanks. Betty Frampton.

12/20/2000 23:37
Bob

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12/20/2000 23:37
Bob

not registered

Hand surgery for Dupuytrens

I go under the knife on January 2nd for my left hand. They will do my right hand after this is healed. What are the side effects? I work on a computer all day. I am told this has some tie in with my epilepsy. I can't find anything on this. Any comments ASAP would be appreciated.

Thanks, Bob

01/04/2002 23:34
Bill K.

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01/04/2002 23:34
Bill K.

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surgeon for dupuytrens

My first surgery was by a plastic surgeon. Big mistake! Because the finger was contracted so far, he thought he had to go in and take the joint completely apart. He did, and he was way out of his league. He pinned the joint back together with the finger totally straight and splinted and left it that way while it healed. When the pins were removed, my finger had the flexibility of a solid steel rod. And there were gobs and gobs of rope-like scar tissue underneath. Months of very painful hand therapy only resulted in being able to bend the finger slightly. After that, I started going to an Orthepedic Surgeon for surgery on the DP that developed in the adjacent finger and the fingers of the other hand. Big difference. The fingers he did ended up straight and with scars you could hardly see. He tried to redo the messed up finger, too, and did get rid of the gobs of ugly scar tissue, but was not able to fix it so that I could bend it much farther than before. It seems that the tendons, bone, nerves, and everything else in and around the joint had grown together in a solid mass. The result is that I can't close my hand all the way up, and small objects that I try to hold just roll right out of it. I don't hold any ill feelings towards the Plastic Surgeon who messed it up (no law suits or anything like that). I was the one who went to him and asked him to operate on me because an HMO Doctor told me that Plastic Surgeons were the kind of Doctors who worked on DC, and that this doctor had done the surgery many times before. But in my case, he was in way over his head. My advise to anyone looking for surgery on DC is to find a good Orthepedic Surgeon who specializes in hands and who has a track record with DC.

01/07/2002 23:44
Chris Bainbridge

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01/07/2002 23:44
Chris Bainbridge

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surgeon for dupuytrens

I am a hand surgeon so perhaps have some experience in this area. The important factor is the surgeons training in hand surgery. Ideally all dupuytrens surgery should be done by trained hand surgeons. In general I would say that this is a soft tissue problem and that a Plastics trained HAND surgeon is probably better simply because he has more experience of managing skin, nerve, tendon etc. However the important thing is to find a hand surgeon you trust

Chris Bainbridge
Derby
UK

01/07/2002 23:42
Ann

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01/07/2002 23:42
Ann

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Titles

What is the difference between a Plastic Surgeon, an Orthopedic Surgeon, and a Hand Surgeon? Is 'Hand Surgeon' a formal title? Ann

01/10/2002 23:57
Chris Bainbridge

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01/10/2002 23:57
Chris Bainbridge

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Plastic surgery for DC

Ann

A Hand surgeon is somebody who has taken a full training in either Plastic or Orthopaedic surgery and then had further training specifically in Hand surgery.

It is a bit like saying do you want any pilot for your Jumbo jet or somebody who is fully accredited to fly 747s

Chris

01/11/2002 23:42
Ann

not registered

01/11/2002 23:42
Ann

not registered

differences

Hi Chris, what's the difference between a plastic surgeon and an orthopedic surgeon? Ann.

01/11/2002 23:42
Ann

not registered

01/11/2002 23:42
Ann

not registered

differences

Hi Chris, what's the difference between a plastic surgeon and an orthopedic surgeon? Ann.

11/02/2004 23:09
Patsy 
11/02/2004 23:09
Patsy 
More NA doctors

So a plastics trained hand surgeon is probably better to treat DD simply because he has more experience of managing skin, nerves, and tendons. Thank you Dr. Bainbridge. This sounds very much like Dr. Denkler. Let's hope Dr. Denkler gets NA French training sooner than later.

04/19/2006 23:40
Paul Bryan

not registered

04/19/2006 23:40
Paul Bryan

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Kienbock~sq~s disease

Hi Chris, I have to provide my solicitor with 5 top hand surgeons in the UK, so that he may arrange 1 to give me a medical examination, look at my Xrays and notes, and provide a report for the Courts. Can you advise who is the best known in UK for prognosis of Kienbock's.?
I am attempting to gain compensation from an accident at work (2003) which has resulted in several operations, including full fusion. My own surgeon who was excellent however has stated that the accident only accelerated the condition by 3 years ? and was not the cause. Hence needing another opinion. Please advise. Paul Bryan

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