Treatment of Dupuytren's contracture (permanently bent fingers in the flexed position) is a reliable solution for patients who want relief from the discomfort caused by the following symptoms: permanently bent fingers, contracted skin on the palm and nodules under the skin. Due to these symptoms the palm and fingers cannot be straightened and the condition may interfere with various daily activities.

Surgery is the most effective treatment for the bent fingers. Surgical treatment is recommended when the patient cannot place their palm on an even surface and straighten their fingers

You may be discharged the next day following the surgery and will be able to perform activities that do not require a lot of physical exertion. We recommend that manual workers take 3 weeks off work.

You will not have to come to the Centre to have your dressing changed after the surgery as we use special bandages to save patient time.

Do not delay and see the doctor at the first signs of the disease. As the disease progresses, stiffness in the joints increases and makes the treatment more difficult and prolonged.

Dupuytren's contracture (permanently bent fingers in the flexed position) – Treatment prices

Surgery for Dupuytren's contracture is an effective solution that can give relief from the discomfort caused by the disease. The treatment price includes pre-operative and post-operative consultations with the hand surgeon and laboratory tests.

Doctor’s consultation

Duration – 30 min or less.
  • Examination, assessment of condition and treatment advice – on the same day.
  • Discussion on the scope of surgery and post-surgical treatment.

Surgery for Dupuytren's contracture. Small scope

Under local anaesthetic. Standard price with referral

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Duration of surgery – 60 min. Same day discharge.
  • Correct positioning of fingers immediately after surgery.
  • Full recovery in 4-6 weeks.

Surgery for Dupuytren's contracture. Large scope

Under local anaesthetic. Standard price with referral

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Duration of surgery – 2 hrs. Same day discharge.
  • Correct positioning of fingers immediately after surgery.
  • Full recovery in 4-6 weeks

What factors affect the price?

The prices indicated below apply to citizens of the Republic of Lithuania and the European Union.
If you are coming from another country please check the price by telephoning or sending an email.

More about prices

When are the examinations are carried out:

The time of specific tests and associated data are presented here.
The time of pathology and citology examinations here.

More about the time required for the tests

What you need to know about surgery?

The surgery is normally performed under local anaesthetic which affects only the hand that is being operated on. Incisions are made in the skin of the palm and in the fingers where the tissue has been affected, the pathological fascia is removed and the hand regains its normal functions.

The patient is discharged on the following day. During the post-operative period the wound requires good care; the sutures are removed after 12-14 days and the patient is encouraged to exercise his (her) hand.
Manual workers need to stay off work for 3 weeks.

Tests required before the surgery:

  • Complete blood count;
  • Activated partial thromboplastin time (APTT);
  • Blood glucose test;
  • Electrocardiogram (ECG) including interpretation.

The patient can bring their test records from other healthcare institutions, or they may have them done at the Medical Diagnostic and Treatment Centre. The tests take 2 hrs. Prices of the tests performed at the Centre. The tests must be performed no earlier than 14 days before the surgery.

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4 reasons

for choosing us

  • Consultations and tests – all in 1 day.
  • Surgery can be performed within 1-3 weeks after the initial consultation. You can go home on the following day.
  • Hospital acquired infection rate – 0 in 5 years.
  • Surgeries are performed by some of the most experienced doctors in Lithuania.

Doctors

Sereika Simonas
Sereika Simonas

Orthopaedic traumatologist, Hand surgeon

Sereika Simonas

Orthopaedic traumatologist, Hand surgeon

  • LT, EN, RU, DE
  • Working hours

Frequently asked questions

Tendons act as connectors between the muscles and the bones. The muscles and tendons of the palm are  covered with palmar fascia. For unknown reasons the tissue of the palmar fascia sometimes becomes abnormal, a part of it loses elasticity, becomes thick and spreads, forming a contracture of the skin of the palm. This is a slow process which usually begins with a small hard nodule under the skin, which can be painful. The finger function is not yet impacted. This is the stage where the disease can stop.

If the disease progresses, the facia in the fingers also undergoes changes, and as it becomes shorter it makes the fingers contract and bend forward. While the process involves the skin and the area under the skin, it does not affect the tendons. The ring finger and the little finger are most commonly affected, and a line looking like a protracted tendon is visible on the palm. While the condition is typically painless, the contracted fingers may interfere with everyday activities.

The cause of the disease is unknown but statistically it mostly affects men over 40, and it has also been noted to run in the families. Prior injury, smoking and alcohol are also seen as contributing factors.

Don’t delay, take care of yourself now