Dupuytren’s Contracture surgery
Price in GBP
Price in EUR
- consultation with the surgeon
- necessary health tests
- surgery
- implant
- anaesthesia
- hospitalisation
- 24/7 personal assistance during your stay
- transfers to / from the airport, hotel and clinic
- all documents translated to English
The clinic uses Zimmer Biomet, Smith & Nephew and other highest quality implants. The implant option is discussed in detail once the surgeon reviews your individual case.
Get your surgery for free by claiming a refund from your local health board. The clinic helps patients with the documents needed to claim a refund after following the EU directive route for medical treatment abroad. It applies to patients who are insured under the systems of one of the EU countries and may not get the surgery due to long waiting times.
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Refund for EU patients
Get your surgery for free by claiming a refund from your local health board. The clinic helps patients with the documents needed to claim a refund after following the EU directive route for medical treatment abroad. It applies to patients who are insured under the systems of one of the EU countries and may not get the surgery due to long waiting times.
Our clinic
What sets us apart from other clinics?
Our clinic works with highly professional and educated surgeons. They have 10-20 years of experience in the field of orthopaedic surgery. They each perform 500 surgeries per year. Moreover, our surgeons are members of various prestigious surgical societies both Lithuanian and international. Our joint replacement surgeon S. Tarasevicius is an author of 150 scientific publications in different medical journals. Find more information about our surgeons here.
Our clinic works according to the highest standards set by the European Union. This helps to guarantee the quality of medical service.
During your entire stay in Lithuania you will receive personal care as well as transport to and from the clinic, hotel, and airport. You will not have to worry about a thing. You will be assisted from the moment of plane landing in Vilnius or Kaunas airport till your departure.
We have no waiting line so we can schedule your surgery as soon as you are ready to do so.
Everyone in our clinic speaks English, including nurses, assistants and the surgeon.
2-3 hour regular flights operate from all main airports in the UK & Ireland. Lithuania is closer than you thought. You can find the list of direct flights here. Please note that airlines constantly add new flights and new destinations, therefore feel free to contact us if you need help choosing the flight that suits you best.
Lithuania has been a part of the EU and NATO since 2004. Lithuania has one of the fastest growing economies in the whole region and the second fastest internet speed in the world. Lithuanian medical schools have trained many medical professionals who are highly appreciated and employed by many foreign hospitals, among which hospitals in the UK. Our clinic works according to the highest standards set to the medical institutions by the European Union.
Our clinic uses implants based on their performance in international registries.
Being a true member of the International Society of Arthroplasty Registries, Lithuania is one of the leaders in low joint replacement revision rates, as only 9% of surgeries in Lithuania require revision in 10 years after surgery. Moreover, with the implants used at our clinic, only 2-3% of surgeries require revision in 10 years after surgery, while revision rates in some other Western countries, for example, USA, is as high as 17% in 10 years after surgery. The implants used at our clinic have been evaluated by other countries’ registries as those ensuring longest implant life, as compared to products of other manufacturers. Read more here.
What is Dupuytren’s contracture and what are the symptoms?
Dupuytren’s contracture is also known as palmar fascial fibromatosis, contracture of the palmar fascia, or simply Dupuytren’s disease. It affects the ring and little fingers on one or both hands, making the fingers stiff and difficult to straighten. Dupuytren’s contracture is caused by the thickening of the connective tissue that lies deep under the skin of the palms. The damaged fingers cannot be straightened completely which causes discomfort and complicates everyday tasks as simple as shaking hands or putting on gloves.
What are the treatment options for Dupuytren’s contracture?
There are several treatment options for Dupuytren’s contracture. A treatment plan is developed based on the patient’s age, overall health, and severity of the contracture. The most common treatments are:
- Steroid injections are used in the early stages to ease the pain if the contracture is causing discomfort. Repeated injections can slow down the progress of the condition.
- Surgery is indicated for severe cases of tissue contracture.The mainstay surgical method for treatment of this condition is called Dupuytren’s fasciectomy. It is only indicated when the fingers are flexed 30 degrees or more. A surgeon takes out the thickened tissues through an incision in the palm.
How is Dupuytren's contracture surgery performed?
- Dupuytren's fasciectomy is the most common treatment option for severe conditions. The surgery takes approximately 90 minutes to complete.
- It can be performed under either general or local anaesthesia.
- To access the constricted tissues, a surgeon makes a "Z" shaped incision in the palm. This incision technique allows for smooth wound healing and improves the aesthetic appearance of the scar.
- Through the incision, the surgeon accesses palmar fascia, resects and removes the constricted tissues.
- Finally, the surgeon sutures the incision and places the operated hand in a cast which keeps the fingers in a semi-flexed position for recovery.
What happens after Dupuytren's contracture surgery? Are the results permanent?
After surgery, it is normal to experience hand swelling and discomfort. The operated hand is placed in a bulky bandage with a plaster splint. In the clinic, pain is controlled with intravenous medications.
When leaving the clinic, patients are prescribed pain medicines to take at home. The operated hand should be kept slightly elevated for as much as possible to reduce pain. After 3-5 days post-surgery, the patients have a consultation with a rehabilitation therapist who educates on the recovery exercises which help to regain motion control and reduce swelling.
The stitches are taken out after about 2 weeks post-op. During the day, the patients can use their hands for all activities as long as no discomfort or pain is felt. To prevent flexing contractures, a custom extension splint has to be worn at night for 3-4 months.
The severity of the condition is very different for each patient. Some people have only a moderate Dupuytren’s contracture, while others experience severe damage and functional disability. There is approximately a 10-34 % chance for Dupuytren’s contracture to recur. Avoiding risk factors, such as smoking and exposure to vibration, lowers the chances of relapse.
How long does it take to recover from Dupuytren’s contracture surgery?
Recovery is just as important as the surgery, so it is essential to take time and relax at least during the first weeks of rehabilitation. How soon the patient can return to work depends on the type of job. If one can work without using the operated hand, it is possible to return to work in 1-2 weeks. But if the job involves lots of repeated finger movements, it may take 6-12 weeks until one has fully recovered. A doctor will help to decide how much time off is actually needed for a successful recovery. Driving is permitted as soon as the patient stops taking painkillers and can grip the wheel with both hands. Most patients have a good grip within 1-month post-op.
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