Dupuytren’s contracture is a condition where fibrous tissue in the palm thickens, forming nodules and cords that pull fingers into a bent position. This can make gripping objects, writing, or performing daily tasks difficult.

Surgery is often recommended when the condition interferes with hand function. Mr. Vasantha Ramsingh uses precise techniques to release or remove the affected tissue, restoring finger mobility while minimising complications. This guide covers the procedure, recovery, risks, and why patients in Lincolnshire trust Mr. Ramsingh for Dupuytren’s contracture surgery.

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What is Dupuytren’s Contracture Surgery?

Dupuytren’s contracture surgery involves releasing or excising the thickened fibrous tissue in the palm and fingers to straighten bent fingers and restore hand function. Depending on the severity, procedures may include:

• Fasciectomy: Removal of diseased tissue
• Fasciotomy: Cutting of the fibrous bands to release contracture
• Needle aponeurotomy: Minimally invasive technique using a needle to divide cords

Common reasons for surgery include:

• Difficulty fully extending one or more fingers
• Loss of hand function impacting daily tasks or work
• Progressive contracture that continues to worsen

The goal is to improve hand function, reduce discomfort, and prevent further progression.

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Who can benefit from Dupuytren’s Contracture Surgery?

Ideal candidates include patients who:

• Have significant finger contractures affecting daily life
• Experience difficulty gripping, holding, or manipulating objects
• Have failed non-surgical treatments such as enzyme injections
• Wish to restore hand function for work, hobbies, or daily activities

Mr. Ramsingh assesses each patient with a detailed hand examination and, if necessary, imaging to plan the most appropriate surgical approach.
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Dupuytren’s Contracture Surgery in Lincolnshire: The Procedure

Pre-operative preparation

Before surgery, patients receive:

• A consultation to discuss symptoms, treatment options, and surgical approach
• Pre-operative tests such as blood work and hand function assessment
• Guidance on exercises to maintain hand mobility prior to surgery
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The surgery itself

Dupuytren’s contracture surgery is usually performed under local anaesthesia with sedation or regional anaesthesia. The procedure typically takes 1–2 hours and involves:

• Making small incisions in the palm and fingers
• Releasing or removing thickened cords and nodules
• Closing the incisions with sutures and applying a dressing or splint

Locations where Mr. Ramsingh performs Dupuytren’s contracture surgery in Lincolnshire include:

• Boston West Hospital – equipped for hand and upper limb surgery with rehabilitation facilities
• Pilgrim Hospital, Boston – part of United Lincolnshire Hospitals NHS Trust, offering post-operative care
• Lincoln Private Hospital (Circle Health Group) – private facility with dedicated hand surgery theatres
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Duration and post-operative care

After surgery:

• Patients are monitored in recovery and usually discharged the same day or after a short stay
• The hand is supported in a splint to maintain finger extension
• Pain is managed with prescribed medication, and gentle exercises begin under physiotherapy guidance

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Recovery and aftercare

Recovery depends on the extent of surgery but typically includes:

• Weeks 0–2: Splint in place; finger movement exercises begin
• Weeks 2–6: Sutures removed; gradual increase in finger mobility
• Weeks 6–12: Strengthening exercises and improved grip function
• Months 3–6: Full hand function restored for most daily tasks and work activities

Regular physiotherapy and follow-up with Mr. Ramsingh are essential to maintain flexibility and prevent recurrence.

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Risks and complications

Although Dupuytren’s contracture surgery is generally safe, potential risks include:

• Infection
• Stiffness or reduced finger movement
• Nerve or blood vessel injury (rare)
• Recurrence of contracture

Mr. Ramsingh uses meticulous surgical techniques and post-operative monitoring to minimise risks and ensure optimal recovery. Patients are advised to contact the clinic if any concerns arise.

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Why choose Mr. Vasantha Ramsingh in Lincolnshire?

Mr. Ramsingh is an experienced Consultant Orthopaedic Surgeon specialising in hand and upper limb surgery. Patients benefit from:

• Expertise in advanced Dupuytren’s contracture surgical techniques
• Personalised, evidence-based treatment plans
• Access to top hospitals in Lincolnshire, including Boston West Hospital, Pilgrim Hospital, and Lincoln Private Hospital
• Comprehensive post-operative rehabilitation support

Whether treating early contractures or advanced deformities, Mr. Ramsingh provides expert care from consultation through full recovery.

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FAQs

Is Dupuytren’s contracture surgery painful?
Some discomfort is normal after surgery but is well-managed with prescribed pain relief and physiotherapy.

How long does recovery take?
Most patients regain functional hand use in 6–12 weeks, with full recovery and strengthening over 3–6 months.

Will I need physiotherapy?
Yes. Structured physiotherapy is essential to restore finger mobility, strength, and grip function.

Can the contracture return?
Yes, recurrence is possible, but early intervention and post-operative exercises can reduce the likelihood.

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Book Your Consultation

If you are experiencing limited hand movement or difficulty performing daily tasks due to Dupuytren’s contracture, speak to Mr. Vasantha Ramsingh to see if surgery is right for you.

Contact us today to schedule your consultation at one of Mr. Ramsingh’s Lincolnshire clinics.