Dupuytren’s Contracture, is a disorder of the tissue between the tendons and the overlying skin on the palmar side of the hand. In its more advanced stages, this tissue may thicken, shorten and tighten causing abnormal bending or ‘contracture’ across the affected joints. In certain situations, this can be treated by the direct injection of a substance known as Xiaflex®, an enzyme which dissolves the unwanted contracture bands. In conjunction with splints and physical therapy, this allows recovery of finger extension and range of motion. Alternatively, with more advanced contractions, corrective surgery is performed to remove these thickened tissue bands, freeing the tendons and joints, thereby allowing improved finger motion. These procedures are most appropriately performed in a State Licensed, Nationally Accredited Ambulatory Surgery Center (see ‘about Keystone Surgery Center’) as a brief outpatient surgery utilizing a combination or intravenous sedation and local anesthesia.
Since hand surgery is performed primarily to correct physical abnormalities and maintain or restore function, it is considered ‘reconstructive’ in nature and therefore as a ‘covered’ procedure by most health insurance plans. This can be verified by checking your policy or contacting your health insurance carrier.
When considering hand surgery, be sure to select a qualified experienced physician skilled in the diagnosis and management of disorder of the hand. As a board certified plastic surgeon with over 15 years of hand surgery clinical practice experience and member of the American Society of Plastic Surgeons (ASPS), Dr. Robert Kimmel welcomes the opportunity to provide optimal care to patients with disorder of the hand.