Have him check out Xiaflex.I have lots of scar tissue but this stuff will blast right thru it.I had multiple surgeries also and have had 3 injections on my right hand the last couple months and i m ready to bowl again .Surgery is gonna be old school soon with all the new proceedures out there.Go to www.xiaflex .com and punch in your zip code.It will give you alist of certified Docs in your area.this stuff is slick.good luck.Dave

The down time is to much with surgery and the range of motion.If you dont have a very agressise case then you could have a surgery to clean it out every 10 years if you had to.I coulda and shoulda had 3 or 4 more surgeries because my DD is very agressive.My goal is to get them straight and keep them straight without going uder the knife again.My point is this,my DD will be back in a year even after surgery so why go thru it.Ive had 3 surgeries on my left and it was back in 9 months last time.Maybe the xiaflex will hold it off longer in my case.Every body is different some have one and done.Im not that lucky.Dave

Maddie,

Is that true? Would that apply to NA (or Xiaflex) when recurrence soon follows the procedure?

I think there might be a correlation/causation of surgery for something other than for Dupuytren's to trigger Dupuytren's. But, I'm not sure that I have heard that surgery for Dupuytren's will trigger Dupuytren's, at least from "experts". Recurrence is not out of the realm of possibility for any procedure involving Dupuytren's.

Wolfgang,

Would that apply to NA (or Xiaflex) when recurrence soon follows the procedure?

Some people might not believe this but heart disease can occur after having heart surgery. The list is endless with every type of procedure when a recurrent disease is involved. I don't understand the point of the comment except to put a damper on having surgery for Dupuytren's. The recurrence rate for surgery is considered less than for many other procedures. I agree that there are exceptions to the norm in any procedure performed for almost anything.

Even "maddie" admitted that Dupuytren's popped up following RT. Does that mean that the RT caused the Dupuytren's to occur?

Wolfgang said, "A surgery is a major wound and the people who undergo Dupuytren's surgery obviously have the tendency to get Dupuytren's." Obviously, I agree, Dupuytren's is a recurrent disease.

Edited 02/13/12 17:47

Thank you for the links. I appreciate the different studies about Dupuytren's. These results were particularly good for the limited fasciectomies.

Partial fasciectomy for Dupuytren's contractures.

"One hundred ninety-six patients with Dupuytren's contractures were treated by partial fasciectomy and adequate postoperative rehabilitation. All patients had flexion contracture of the proximal interphalangeal joint of >20 degrees ; 93 patients had flexion contracture of the associated metacarpophalangeal joint of >30 degrees ; 143 patients had risk factors for Dupuytren's disease. Primary skin closure and splinting were done in all patients. Range of motion was begun by the 1st week. Splinting was discontinued by the 2nd week, followed by night-time splinting until the 8th week. The mean follow-up was 6.6 years (range, 2-9 years). At the latest examination, 72.5% of the patients had complete range of motion of the metacarpophalangeal and proximal interphalangeal joints; 20.2% had 5 degrees -10 degrees of extension deficit and 7.3% had recurrent contractures of >20 degrees at the proximal interphalangeal joint and were subjected to reoperation. Complications included digital neurovascular injury in 5%, complex regional pain syndrome in 10.1%, and wound-healing problems and superficial infections in 15.1%."

http://www.ncbi.nlm.nih.gov/pubmed/19602340