Subsequent surgeries |
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10/27/2024 02:38
dupynz
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10/27/2024 02:38
dupynz
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Subsequent surgeries
I haven't visited this forum since I recovered from my second hand surgery in 2019 (left, dominant hand pinky in 2018, middle finger right hand 2019) Quite soon after that second surgery I noticed nodules in my right palm and my pinky on that hand started to be affected. I didn't go for other treatments - surgery seems to be the thing that works best as far as I can see and in our (New Zealand) public health system the collagenase injections are not "funded" (i.e. paid for by the Government) and the only people I know who did get them subsequently had to have surgery. I don't have private health insurance. Anyway, by now I do need surgery on my little finger but it will be the 2nd surgery in that hand. I haven't got a date yet but I am nervous about it because I'm sure I read on this forum that things can go really bad if you have more than one surgery on a hand, even if it is a different finger that is affected. Apologies if there are already threads about this - I'm sure there are, if my searching skills were up to finding this information! Any shared experiences would be welcome!
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10/27/2024 07:26
spanishbuddha  Administrator
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10/27/2024 07:26
spanishbuddha  Administrator
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Re: Subsequent surgeries
Hi
I don't think there is one answer that fits all. I cannot help you by addressing the second surgery on same hand question. There are many reports of successful surgery and also many reports of people for who surgery failed or where things were made worse. It seems that surgery may often result in a rebound of the condition where there is a flare of new nodules or the contracture just returns. For this reason we often suggest alternatives in the early stages such as RT or steroid injection, moving onto collegenase or NA for moderate contracture. The pinkie is always the hardest to treat with partial results or subsequent re-contracture. One thing that seems to make a difference is the experience and skill of the surgeon.
If your previous surgery was successful, and you healed well, and you have the confidence in your carefully chosen or same surgeon, take their advice; ask about NA; ask if the old surgical site will be disturbed or impede the new surgery; ask about post surgical care and physio especially if there are signs of re-contracture, new nodules, scarring or keloids, etc. Have a plan ready just in case, and hopefully all will go well.
Best wishes SB
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10/27/2024 21:56
dupynz
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10/27/2024 21:56
dupynz
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Re: Subsequent surgeries
Thanks so much for your helpful reply. Both of my previous surgeries healed well, and I'm especially pleased to have no recurrence of DC in my dominant left hand. Incidentally, that surgery was supposed to have been done by the best surgeon in my city but somehow - I never inquired why - it was done at the last minute by a registrar surgeon. I was not pleased at the time, but it has turned out perfectly. The surgery in my middle finger on my right hand was done by the top surgeon, but although it healed well, that hand quickly developed a recurrence. So, it seems it's just a matter of luck to some extent as to whether it will come back. Incidentally, I took the advice of someone on this forum to use a splint on my left pinkie for a lot longer than I was told to. Whether that helped I don't know for sure but it stayed straight (ish)
I did have NA for my left hand pinkie well before surgery but it was in no way helpful and my hand rapidly became worse. Which might have happened anyway, but I lost faith in NA and have not had it done for my subsequent cases of DC. Anyway, the r.h. pinkie is too far advanced for anything but surgery. I tend to be not very proactive about these things, I'm afraid. What a drag DC is!! Post operative care is so important and I don't look forward to being one-handed for a while and not being able to do too much with my right hand until it is healed well enough.
At 75 maybe I will be dead before I ever need another surgery after this one?!
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03/07/2025 21:41
dupynz
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03/07/2025 21:41
dupynz
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Re: Subsequent surgeries
Well, I had my 3rd surgery for Dupytren's on 13 Feb. and am 3 weeks post op. on my r.h. little finger (the 2nd surgery on this hand) I hope this is the last! Recovery going OK but this time I had to have a dermofasciectomy and probably as a consequence it is taking longer to heal, or rather, it's healing but still very tender. I recall this being my experience from previous surgeries - I think. The site where the graft came from on my upper forearm by the inner elbow healed extremely well but it seems I've been left with nerve damage all down my forearm because it is painful to touch, as if it was deeply bruised (which it isn't).
I'm not sure if I'm correct in this self-diagnosis! Anyone think nerve damage is possible and that it will go away? As a consequence I can't bear to wear the splint the hand-therapist gave me. I will get her to modify it at my next appointment.
Meanwhile I made myself a splint with part of a stiff cardboard emery board (for filing nails) and two pieces of velcro, one around my pinkie and a wider strip around my palm. This stays put in bed (which is when I wear it) and keeps my little finger straight. I think I got this idea of a self-made splint from this forum a few years ago, so many thanks to whoever originated it!
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03/08/2025 07:42
spanishbuddha  Administrator
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03/08/2025 07:42
spanishbuddha  Administrator
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Re: Subsequent surgeries
dupynz: Well, I had my 3rd surgery for Dupytren's on 13 Feb. and am 3 weeks post op. on my r.h. little finger (the 2nd surgery on this hand) I hope this is the last! Recovery going OK but this time I had to have a dermofasciectomy and probably as a consequence it is taking longer to heal, or rather, it's healing but still very tender. I recall this being my experience from previous surgeries - I think. The site where the graft came from on my upper forearm by the inner elbow healed extremely well but it seems I've been left with nerve damage all down my forearm because it is painful to touch, as if it was deeply bruised (which it isn't).
I'm not sure if I'm correct in this self-diagnosis! Anyone think nerve damage is possible and that it will go away? As a consequence I can't bear to wear the splint the hand-therapist gave me. I will get her to modify it at my next appointment.
Meanwhile I made myself a splint with part of a stiff cardboard emery board (for filing nails) and two pieces of velcro, one around my pinkie and a wider strip around my palm. This stays put in bed (which is when I wear it) and keeps my little finger straight. I think I got this idea of a self-made splint from this forum a few years ago, so many thanks to whoever originated it!
Hi, Thanks for sharing your latest update. I hope you continue to heal well. Concerning the source site of the graft: research or ask your physician about desensitisation/desensitization techniques/treatment. This type of sensitivity is common after surgery and although it usually goes there are 'treatments' that can help. SB
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