Operacja przykurczu Dupuytrena
Dupuytren’s contracture surgery restores hand function and improves quality of life. At Luna Clinic we use effective hand-surgery techniques.
Dupuytren’s contracture surgery restores hand function and improves quality of life. At Luna Clinic we use effective hand-surgery techniques.
What does the procedure involve?
Dupuytren’s contracture surgery treats a disease in which thickened bands of tissue in the palm gradually bend the fingers, preventing them from straightening. The procedure involves removing or cutting the altered tissue and releasing the fingers, restoring hand function and the ability to perform daily activities freely.
The most common indications for the procedure:
Preparation for the procedure:
Orthopedic consultation with a thorough examination of the hand
Ultrasound or X-ray of the hand (if needed)
Laboratory tests
Stopping anticoagulant medications (e.g. aspirin) - 5-7 days before the operation
On the day of the procedure the hand must be clean, without nail polish, creams or wounds
Course of the procedure
The procedure takes place under conduction or general anaesthesia and usually lasts 60-90 minutes.
The surgeon makes precise incisions along the altered tissues of the palmar aponeurosis, removes the scarred bands and releases the contracted fingers.
If necessary, skin plasty is also performed.
Fine sutures and a dressing are applied.
In most cases the patient returns home the same day.
Recovery and post-procedure recommendations:
The hand should be immobilised for a few days in a dressing
Avoiding loading the limb for 10-14 days
Regular rehabilitation exercises - conducted by a physiotherapist
Removal of the sutures after 10-14 days
Full rehabilitation may take 4-6 weeks
Massage and mobilisation of the scars - started after full healing of the wound
Krwiak, infekcja rany
Damage to nerves or blood vessels
Scarring - requiring further rehabilitation
Stiffness of the fingers despite the procedure (with very advanced changes)
Recurrence of the disease (rare, after several years)
At Luna Clinic the procedure is performed by Dr Krzysztof Ciechan - an orthopaedist specialising in hand surgery and microsurgery, with many years of surgical experience.
Frequently asked questions
Czym jest przykurcz Dupuytrena?
It is a disease of the palmar aponeurosis: thickenings and bands form in the palm, which gradually contract the fingers (most often the ring and little finger), preventing their full extension.
Na czym polega operacja przykurczu Dupuytrena?
The surgeon excises the diseased bands of the aponeurosis (fasciectomy), releasing the contracted fingers. In advanced cases the procedure is combined with skin plasty.
When should Dupuytren’s contracture be operated on?
When the contracture exceeds about 30 degrees in the metacarpophalangeal joint, the fingers cannot be straightened (positive tabletop test) or the hand stops fulfilling daily functions.
How long does the operation take and what anaesthesia is used?
Depending on the extent of the changes, 45-90 minutes, under regional (brachial plexus) or local anaesthesia. The procedure is performed on a day-case basis.
What does recovery after Dupuytren’s surgery look like?
For 2 weeks protection of the wound and elevation of the hand, sutures removed after 10-14 days. Early hand rehabilitation and finger-straightening exercises are crucial, sometimes with a night splint.
When will I return to work after the operation?
To office work usually after 2-3 weeks, to physical work after 6-8 weeks - depending on the extent of the procedure and professional requirements.
Can Dupuytren’s contracture recur?
The disease is progressive and recurrences after years are possible, especially in younger people with an aggressive form. The operation removes the altered bands but not the genetic cause.
Will the operation restore full straightening of the fingers?
With moderate contractures usually yes; with long-standing, advanced changes the joints may remain partially limited. The earlier the operation, the better the effect.
Czy zabieg boli?
The operation is painless thanks to anaesthesia, and post-operative complaints are controlled by standard medications. Tenderness of the scar in the palm may persist for several weeks.
How to prepare for the operation?
Carry out the ordered tests, report blood-thinning medications, plan help with daily activities for the first days - the operated hand will be temporarily excluded from heavier tasks.
What are the possible complications of Dupuytren’s surgery?
Rarely: haematoma, infection, delayed skin healing, temporary sensory disturbances of the fingers, recurrence of the contracture. The surgeon’s experience and rehabilitation limit the risk.
Ile kosztuje operacja przykurczu Dupuytrena we Wrocławiu?
The price depends on the number of affected rays and the extent of the changes. We present a precise quote after an orthopaedic consultation; you will find indicative prices in the Luna Clinic price list.
Indications - is this procedure for you?
The most common reasons patients come for the “Dupuytren’s contracture surgery” procedure:
- Pain limiting daily activity, work or sleep.
- Mobility limitation, instability or “catching” in the joint.
- Insufficient improvement after conservative treatment and rehabilitation.
Contraindications
Effects - when and for how long?
Effect: improved extension immediately; full function after rehabilitation. Durability: lasting with adherence to recommendations.
Safety and possible complications
As with any operation, the following are possible - though rare: haematoma, infection, sensory disturbances in the operated area, scar hypertrophy, asymmetry or the need for a corrective procedure.
We minimise the risk at every stage: a sterile procedure suite, an experienced anaesthesiology team, careful qualification and post-operative monitoring. You have the right to know every aspect of the procedure - at the consultation we will discuss them honestly and without haste.
Krzysztof Ciechan, MD, PhD
A specialist in orthopaedics and traumatology of the locomotor system with over 13 years of experience in trauma and orthopaedic surgery. A doctor of medical sciences, a graduate of the Wrocław Medical Academy; he also gained practice in renowned hospitals in the United Kingdom, combining modern treatment techniques with an individual approach to the patient.
Take the first step
Book a consultation - an honest conversation about expectations, possibilities and the treatment plan.
Dupuytren’s contracture surgery - Wrocław and all of Poland
Dupuytren’s contracture surgery is one of the procedures we perform at Luna Clinic - an intimate, boutique clinic at ul. Władysława Syrokomli 46 in Wrocław. The procedure is performed by Krzysztof Ciechan, MD, PhD - a specialist in orthopaedics, with an individual, empathetic approach to every patient. If you are looking for a proven place where Dupuytren’s contracture surgery in Wrocław is carried out by an experienced team, on this page we have gathered all the information: what Dupuytren’s contracture surgery involves, what the indications and contraindications are, how the procedure and recovery look, what effects you can expect, and how much a consultation costs and how to prepare for it.
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What does Dupuytren’s contracture surgery involve?
Dupuytren’s contracture surgery is a procedure in the field of orthopedics. At Luna Clinic, every treatment plan is created individually - we start with a thorough consultation and qualification, during which the doctor discusses expectations, assesses the starting situation and selects the scope and technique of the procedure. Thanks to this, Dupuytren’s contracture surgery is safe, predictable and tailored to the anatomy and real needs of the specific person. We focus on a natural rather than artificial effect - so that the result emphasises individual beauty and remains in harmony with the rest of the figure or facial features. You will find a full, detailed description of the method in the upper part of this page.
Dupuytren’s contracture surgery - who is it for? Indications and qualification
The best way to answer whether Dupuytren’s contracture surgery is advisable in your case is during a consultation. The doctor always decides on qualification after an examination - we take into account the state of health, expectations and the real possibilities of the given method. If the procedure is not needed or safe at the moment, we will say so directly and suggest a sensible alternative. Such an honest conversation is the basis of a good decision and satisfaction with the result - which is why we never persuade anyone into unnecessary procedures.
How does the procedure go?
The course is planned to take maximum care of your comfort and safety. We work in comfortable conditions that meet all standards, and an experienced team oversees the process. All recommendations - preparation, contraindications and post-procedure conduct - are discussed individually and also provided in writing, so that Dupuytren’s contracture surgery proceeds calmly, predictably and without surprises.
Effects and durability - Dupuytren’s contracture surgery before and after
The effects that Dupuytren’s contracture surgery provides are always assessed individually. A natural, harmonious refreshment of appearance or an improvement of proportions is the goal we strive for with every patient. “Before and after” transformations are best viewed in our results gallery - they show the real outcomes of our work. Remember that the durability and quality of the effect are also influenced by lifestyle, care and consistent adherence to post-procedure recommendations.
Recovery and post-procedure recommendations
Recovery goes most smoothly when you follow the recommendations closely. After the procedure you remain under the clinic’s care - in the first days, contact with a doctor is available, and we schedule follow-up visits until full healing and assessment of the effect. You receive clear instructions on care, activity and any supporting products in writing, so you know exactly what to expect at each stage of returning to form.
Safety, experience and trust
Safety is an absolute priority for us. Dupuytren’s contracture surgery is performed by Krzysztof Ciechan, MD, PhD - a specialist in orthopaedics, with care for safety and an individual approach to the patient. Careful qualification, work in appropriate conditions and the team’s experience allow us to minimise risk and achieve repeatable, aesthetic results. In the field of orthopedics, not only technique matters, but also aesthetic sense and trust between patient and doctor - and that is exactly what we build Luna Clinic on every day.
Why Luna Clinic?
Luna Clinic is an intimate, boutique clinic where not only the result matters, but also comfort, discretion and a sense of safety. We carry out Dupuytren’s contracture surgery with attention to every detail - from the first conversation, through the procedure itself, to post-procedure care. Patients choose us for the experience of our specialists, the individual approach and the natural, harmonious results. It matters to us that every person feels heard and well informed, which is why we present the real possibilities and limitations of the given method and choose the best solution together.
How to prepare for the procedure?
Good preparation translates directly into the course and the effect. Before Dupuytren’s contracture surgery we conduct a qualification consultation, order tests if necessary and discuss the recommendations in detail - including which agents, stimulants or activities to avoid in the days preceding the procedure. You receive all the guidance clearly and in writing, and our team remains available should any additional questions arise. We always tailor the preparation plan individually, because every situation and every patient is different.
Dupuytren’s contracture surgery Wrocław - getting here and patients from all over Poland
You can easily reach the clinic at ul. Władysława Syrokomli 46 from every district of Wrocław - Krzyki, Psie Pole, Fabryczna, Śródmieście, Stare Miasto, Ołbin and Nadodrze. On-site parking for patients awaits, and the intimate atmosphere favours a calm conversation and discretion. Many patients from the city and the surrounding area come to us via phrases such as “Dupuytren’s contracture surgery Wrocław”, “Dupuytren’s contracture surgery price” or “Dupuytren’s contracture surgery effects”. We also welcome people from all over Poland - we help plan the arrival, consultation and follow-up visits so that the whole process is as convenient and stress-free as possible.
Price, consultation and booking a visit
You receive the final quote in writing after the consultation and examination - with no hidden costs. The qualification consultation that always precedes Dupuytren’s contracture surgery is the best first step: it is during it that we establish the plan, answer questions and dispel doubts. To book a date, call +48 666 850 666 or write to info@lunaclinic.pl. We will gladly help you choose a convenient date and calmly explain everything.
Most searched phrases and questions
When planning Dupuytren’s contracture surgery, it is worth getting to know the topic from the practical side. Related, most frequently searched phrases are: Dupuytren’s contracture surgery Wrocław, Dupuytren’s contracture surgery price, how much does Dupuytren’s contracture surgery cost, Dupuytren’s contracture surgery effects, Dupuytren’s contracture surgery before and after, Dupuytren’s contracture surgery reviews, Dupuytren’s contracture surgery recovery, orthopedics Wrocław, orthopedics clinic Wrocław. If any of these issues concerns you - book a consultation and we will answer all questions based on your individual situation.