Dupuytren’s contracture
Thumb & finger free toe pulp
Removal of finger lesions
Fractures

Dupuytren’s contracture

Dupuytren’s collagenase

Post dermofasciectony for Dupuytren’s disease

Treatment not currently available outside the USA
Treatment not currently available outside the USA

Dupuytren’s disease planned for collagenase treatment

Treatment not currently available outside the USA
Treatment not currently available outside the USA

After collagenase injection

Treatment not currently available outside the USA
Treatment not currently available outside the USA

Result of manipulation

Treatment not currently available outside the USA
Treatment not currently available outside the USA

The final result of collagenase and manipulation- straight finger!

Dermofasciectomy for Dupuytren’s disease

Before dermofasciectomy for Dupuytren’s disease

Before Percuteneous needle fasciotomy

Post dermofasciectony for Dupuytren’s disease

After Percuteneous needle fasciotomy

Post Recovery of
Dermofasciety

Splint on for assistance

Thumb pulp reconstructions and finger free toe pulp

Thumb reconstructed using a transplanted part of the big toe. The patient was delighted to be able to text once more!

Another thumb reconstruction with transplanted toe pulp

Free toe pulp flap reconstruction of the ring finger with anastomoses to the digital artery and dorsal vein

Preop and post removal finger lesions

Removal of finger lesions

Mucous Cyst of finger

Mucous cyst of finger with  previous skin breakdown. Flap reconstruction (Before)

Mucous Cyst (Early)

Mucous Cyst (Postop) – Swollen due to finger not being raised

Final Results

Fractures

Fracture of the proximal phalanx of a finger

Fracture during surgery

Postop of the phalanx fracture fixed with screws

Double metacarpal fractures

Metacarpals fixed with plates

Rolando fracture

Rolando fracture fixed with plate and screws, restoring normal function