Dupuytren’s Contracture

Conveniently located to serve the areas of Cleveland, OH

Dr. Paul Vanek holding a patient's hand and observing a crooked finger

After extensive testing and evaluation, the FDA has recently approved Xiaflex®, an injectable collagenase enzyme to treat Dupuytren’s Contracture, which now gives those suffering from “Crooked Finger Disease” a nonsurgical therapy option.

The clinical use of this biochemical agent involves an injection performed in the office to digest the cord collagen. Patients who have contracture at the MCP (the knuckle) or at the PIP (the first joint) from Dupuytren’s fibrosis are candidates for the injection therapy. The fibrosis in the palm is not as responsive to injection therapy and may require excisional surgery using tourniquet anesthesia. Patients who have the finger contracture can be injected monthly up to three times. The patient is seen the next day for a mobilization maneuver to hopefully break the cord. Tendon rupture is a small risk of the injection, because it contains high collagen content and is in close proximity to the fibrotic cord in the finger. Dr. Paul Vanek is credentialed in the safe use of Xiaflex™ collagenase injection. The procedure is not cosmetic.

About Dr. Paul Vanek

Board-Certified Plastic Surgeon · Mentor Plastic Surgery & Medspa

Board certification
  • American Board of Plastic Surgery (verify)
  • American Board of Surgery (verify)
Education and training
  • Dept. of Surgery – Chief Surgery Resident and General Surgery
  • University of Rochester School of Medicine – M.D. with Distinction in Research
  • Haverford College – BA in Molecular Biology
  • Magill-Rhodes Scholar
  • Residency, Plastic Surgery, University of Michigan
  • Fellow, Division of Plastic Surgery, University of Michigan
  • Residency, General Surgery, University of Rochester School of Medicine (Chief Surgery Resident)
  • MD with Distinction in Research, University of Rochester School of Medicine
Memberships
  • American Society of Plastic Surgeons
  • Fellow American College of Surgeons
  • American Medical Association
  • Ohio State Medical Society
  • Lake County Medical Society
  • Lake Hospital Foundation
  • Founding Member, Northeast Ohio Regenerative Medicine
  • Past campaign chairman, United Way
Awards
  • America’s Top Physicians
  • America’s Top Docs
  • Life Member National Registry of Who’s Who
  • News-Herald “Best of the Best” Reader Poll, Multiple Year Winner
  • Honored by the American Red Cross for relief work in Haiti
  • Magill-Rhodes Scholar, Haverford College
NPI
1730256967

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