Beyond Expectations: Achieving Full Extension in Little Finger Dupuytren Contracture

How Digit Widget Restored Hand Function for a 73-Year-Old Woman After Severe Dupuytren Contracture


What You’ll Learn in This Blog

  1. How severe Dupuytren Contracture affects hand function and daily life
  2. Why conventional splints and surgery alone often fall short
  3. How Digit Widget facilitates PIP joint extension and improves range of motion

Dealing with limited hand function from Dupuytren Contracture? Explore a treatment that facilitates PIP joint extension and restores range of motion.

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Dupuytren disease is a progressive condition that causes the fingers—most commonly the ring and little fingers—to bend toward the palm due to thickened tissue in the palm. As the disease advances, it can significantly impair hand function, making everyday activities like gripping, dressing, or even shaking hands difficult. While early symptoms may seem manageable, advanced Dupuytren disease often requires targeted, biomechanical treatment to restore motion and reclaim quality of life.

How Does Severe Dupuytren Contracture Affect Daily Life and Confidence?

Dupuytren disease can slowly but dramatically change a person’s life. For a 73-year-old woman who loved playing tennis, cooking meals, and biking with her grandchildren, it began with stiffness in her left little finger and worsened over time. 

The curling of her finger soon became more than an inconvenience. Simple tasks like folding laundry became frustrating, and she found herself hiding her hands in public out of embarrassment.

She had tried splints, but they led to pain, ischemia, and even blisters. She still couldn’t fully grip her bike’s handlebars—a symbol of freedom now beyond reach. Emotionally worn out and physically limited, she felt like she was running out of options. 

That’s when she was referred to Dr. John Agee, a renowned hand surgeon and the inventor of Digit Widget.

Why Do Traditional Treatments Often Fail in Advanced Dupuytren Contracture Cases?

Dr. John Agee, a pioneering hand surgeon and founder of Hand Biomechanics Lab and its subsequent innovation, Digit Widget, dedicated his career to solving complex hand conditions with innovative, patient-centered solutions.

When this case came to Dr. Agee, he immediately understood the severity of her condition. Her little finger was locked in a severe Dupuytren contracture: her MCP joint lacked 75 degrees of extension, and her PIP joint was short by an alarming 80 degrees. Such deformities don’t just limit motion – they devastate hand function, especially grip and extension.

Close-up of a hand with a label on the palm, showing severe Dupuytren Contracture in the little finger, visibly curled toward the palm due to tightened tissue.

Traditional splints had already failed her, and open surgery would have left scar tissue and adhesions that risked worsening the contracture. Dr. Agee knew this wasn’t just about straightening a finger. It was about giving her the confidence to use her hand again, with a return to full function.

After a thorough consultation focused on her functional goals – grip strength, mobility, and daily use – Dr. Agee offered a different solution: finger surgery (fasciectomy) followed immediately with biomechanical support using Digit Widget.

How Did Digit Widget Facilitate PIP Joint Extension After Finger Surgery for Dupuytren Contracture?

Dr. Agee performed a fasciectomy to remove the diseased cords caused by Dupuytren disease. But this was only the first step in his treatment plan. To ensure a full and lasting recovery, he immediately applied Digit Widget – a biomechanically engineered external fixation device designed to gently and continuously apply extension torque across the PIP joint. This constant tension encourages soft tissue remodeling without pain, trauma, or pressure on the skin.

Reversing PIP Joint Contracture with Biomechanical Precision

Digit Widget plays a critical role in Dupuytren contracture treatment by not just correcting finger extension, but supporting the natural healing process. Unlike rigid splints that can lead to ischemia, blisters, or compliance issues, Digit Widget provides a dynamic yet skin-friendly solution that adapts with the patient’s progress.

A hand wearing the Digit Widget device after finger surgery for Dupuytren Contracture, applying dynamic tension to gradually extend the little finger.

Instead of forcing the finger into a straight position, Digit Widget allows the body to adapt at a biomechanically sound pace. 

In this patient’s case, the device supported remarkable improvement:

  • 2 weeks post-op: PIP joint contracture improved significantly, down to 53 degrees.
  • 3 weeks post-op: Only 10 degrees short of full extension, with reduced swelling.
  • 4 weeks post-op: Nearly full active motion restored.

The Role of Continued Support in Finger Surgery Recovery

The patient continued wearing Digit Widget for six weeks, five of those after reaching full extension. 

Why? Because maintaining extension is just as crucial as achieving it. The device minimized the risk of recurrence and gave her soft tissue the time it needed to adapt and stabilize.

Post-operative hand showing significant improvement in finger extension after using the Digit Widget, with reduced contracture and visible healing.
Side view of the same hand after treatment for Dupuytren Contracture, displaying restored finger alignment and nearly full range of motion.

Restoring Confidence After Dupuytren Contracture

With full extension restored, the 73-year-old woman returned to the life she loved – cooking, tennis and hugging her grandkids with ease. Her success wasn’t due to surgery alone. 

Digit Widget played a crucial role in sustaining her range of motion. Unlike rigid splints or painful injections, Digit Widget provided continuous, biomechanical support without scarring, skin pressure, or discomfort. 

For patients seeking a Dupuytren contracture treatment that’s minimally invasive, effective, and comfortable, Digit Widget offers more than correction; it restores confidence and quality of life.

Digit Widget continues to redefine post-surgical rehabilitation—not just by straightening fingers, but by restoring control, dignity, and freedom.


FAQs

How is Digit Widget different from traditional splints?

Unlike splints, Digit Widget provides dynamic extension torque, promoting gradual tissue lengthening without causing ischemia, pressure, pain, or blistering – to help patients regain range of motion.

Can Digit Widget be used without surgery?

Digit Widget requires two bone pins surgically installed in a short, outpatient procedure. Typically, it’s used in conjunction with an open procedure, such as fasciectomy, which helps to extend post-operative correction. Some mild contractures may respond to Digit Widget alone, and treatment is based on a surgeon’s evaluation and subsequent recommendation for Dupuytren contracture treatment.

How long does it take to see results?

Results vary by the case severity of Dupuytren disease. In fact, every patient and every finger may respond differently to Digit Widget treatment. In this patient’s case, major improvement was seen within 4 weeks, with full stabilization by week 6.

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Posted on

October 15, 2025