What advanced in dupetryens contracture hand surgery? if patient had surgery twice with recurrence of the cord what options are out there?

There is help availa: Enzyme injections to the affected areas of the hand by the surgeon may be of value following a repeat surgery. careful and competent physical therapy post surgery is also of value.

Dupuytrens disease: If recurrent can be resected again, but care must be taken to make sure that the scar is not the culprit as well as recurrent disease. that the patient followed the appropriate post operative protocol and that nn compliance was not a reason for failure. The time frame for recurrence is vital to understand as well as if arthritis is present. see below in comments and ill finish

Recurrence is common: Dupytren's Contracture of the Hand commonly recur. This depends on the phenotypic expression of the genes that causes it. Sometimes a wider excision of the palmar fascia is helpful. Xiaflex (collagenase clostridium histolyticum) is a collagenase product used to treat cords in the office setting. An experienced Hand Surgeon who uses Xiaflex (collagenase clostridium histolyticum) should assess if a patient with recurrent cords can be treated with it.