Dupuytren Contracture

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  1. This is a discussion on Dupuytren Contracture in Orthopaedic Nursing, part of Nursing Specialties ... My 55 year old father (a contractor who uses his hands in 24/7 for work) fell and suffered a severe...

    by Jan 31, '06
    My 55 year old father (a contractor who uses his hands in 24/7 for work) fell and suffered a severe fracture and dislocation of his wrist and subsequently has been DX with Duputren Contracture ... his rehab from the fracture has been tedious (with 2 surgeries, much PT) and now his hand surgeon is recommending bilat surgery for the contracture. I've read up on the internet but was wondering if any of you ortho experts have advice and/or have seen the results. I've read that the contracture can come back after surgery? And that there is a new tx with enzymatic injects that is in phase III of FDA approval? Any advice for me to pass on to my dad? I'm way out of my comfort zone with ortho!
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    by nursekelly217 Jan 31, '06 9:28 pm
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  4. Feb 2, '06 by
    I am not an ortho expert but I have worked with people with this kind of contracture. There is is a good chance that the hands will contract again after surgery but you can delay that by rolling a warm wash cloth in a ball and have him hold for a certain length of time, and when it gets cold repeat the therapy. It's tedious, but I can't think of anything else. From what I have read it's excess collagen that compounds the problem. Good luck with your father.
    Quote from nursekelly217
    My 55 year old father (a contractor who uses his hands in 24/7 for work) fell and suffered a severe fracture and dislocation of his wrist and subsequently has been DX with Duputren Contracture ... his rehab from the fracture has been tedious (with 2 surgeries, much PT) and now his hand surgeon is recommending bilat surgery for the contracture. I've read up on the internet but was wondering if any of you ortho experts have advice and/or have seen the results. I've read that the contracture can come back after surgery? And that there is a new tx with enzymatic injects that is in phase III of FDA approval? Any advice for me to pass on to my dad? I'm way out of my comfort zone with ortho!