The orthopedic surgeons at Advanced Orthopedics and Hand Surgery are able to offer Xiaflex Treatment in Wayne and Clifton, NJ
What is Dupuytren's Contracture?
Dupuytren's contracture is named after the surgeon, Baron Guillaume Dupuytren, who recorded how to operate on the condition in 1831. Also known as the Vikings Disease because it mainly affects men of northern European ancestry, it is caused by nodules of tissue in the palm and fingers developing into thickened cords. Why these nodules form is not known, but as they thicken, they begin to tether the fingers into a fixed, flexed position. Most commonly it is the ring and/or pinky fingers that bend toward the palm and cannot be straightened. The onset of Dupuytren’s is usually gradual and painless, but it can severely limit a sufferer's ability to use the affected hand, limiting the ability to grasp a jar or even just clap his or her hands.
What should I expect during Xiaflex treatment?
Xiaflex is an enzyme called collegenase clostridium histolyticum which on the first day of treatment is injected into several spots along the cord. You are placed in a soft hand wrap, and about 24 hours later you will return to the office for cord rupture. At this point the enzyme has dissolved a majority of the cord, so the doctor will gently straighten the finger and tear any remaining cord fibers that remain, which is typically painless. Depending on the severity of the contracture you may be at risk for skin tears which are usually minor and heal over the next couple weeks. Night splinting may also be used for several weeks after manipulation of the cord. The treatment is intended to be a permanent solution to the contracture, although there is always a chance for new cords to develop or reform. The enzyme injection is a great treatment option for patients who want to avoid surgery and have quick return to function.
Xiaflex is only available upon the recommendation of your hand surgeon, by prescription only, so make an appointment today. Experienced hand surgeons like Drs. Ghobadi and Dr. DeNoble have used Xiaflex with dramatic and satisfying results, and would like you to benefit from this wonderful new treatment option.
Is Xiaflex The Only Treatment For Dupuyten's Contracture?
Previously, the most common treatment involved removing the affected fibrous tissue surgically through large zig-zag incisions on the palm and finger, which comparatively resulted in longer recovery times, more scarring, and increased risk of nerve injury.
Schedule a Consultation
Dr. Ghobadi and Dr. DeNoble, the hand surgeons of Advanced Orthopedics and Hand Surgery Institute in Wayne, NJ, perform Xiaflex injections, the exciting new non-operative treatment for Dupuytren’s contracture. Xiaflex is the only US Food and Drug Administration (FDA) approved injectable treatment for Dupuytren’s contracture.
Contact Advanced Orthopedics & Hand Surgery Institute for more information about Xiaflex treatment or call (973) 942-1315 to schedule a consultation with one of our orthopedic specialists.