Hand surgeon recommendation in Boulder

Does anyone have a recommendation for a good hand surgeon in or near Boulder? This isn't strictly climbing related (I have Dupuytren's contracture) but this seems like a good place to ask...

I have one but need to look it up...for now Dr. Kerry (???)(Denver, CO). I know this is useless for today, but at least you can ask me to follow up. Will do in the AM. Good luck.

If memory serves, surgical outcomes on Dupuytren's are mixed. I would say calling around and seeing what kind of opinions you get from surgeons until you find someone you trust that has a good plan of action would be the way to go.
Dr. Reid in Boulder does good work.
Good luck,
BA

Ken Duncan in Fort Collins is good. Dr. Conyers did my surgery for trigger thumb.

I've also heard good things about Conyers, and if he's had good outcomes w/ things like trigger finger (sibylle?) he may be a good place to start.

brentapgar wrote:If memory serves, surgical outcomes on Dupuytren's are mixed. I would say calling around and seeing what kind of opinions you get from surgeons until you find someone you trust that has a good plan of action would be the way to go. Dr. Reid in Boulder does good work. Good luck, BA

Apparently there's a new treatment using injections of collagenase to dissolve whatever it is that causes the contraction; much less invasive than surgery. Ideally I'd like to find a surgeon who's already used this a few times; I'd rather not be their first patient for this.

Here's the info on the new treatment:

xiaflex.com

Andy Laakmann wrote:Here's the info on the new treatment: xiaflex.com

They have a directory of doctors and Dr. Reid is on it, so I'll give him a try. Thanks everyone for your help.

I used Dr. James Fry in 2002ish. I had a large piece of scar tissue removed from my hand/wrist that prevented me from climbing. He reassured me up and down that he knew plenty about climbers and what kind of use we put our bodies through, even naming others he had worked on. The end result was after completion of the procedure I paid him, he wanted nothing to do with me. My hand was worse than before, it hurt to swing my hammer, I thought I would never climb again. My hand did heal after several years on it's own. I was informed at a later date from another patient and a medical professional who worked with him that DR. Fry is known for such service.

Weird and circular. Just found out I've got Dupuytren's in my right hand and found this thread with my own post from five years ago. Safe to say I did not follow up on my previous post. Hope your outcome was good Dan.

Dr. Bierbrauer at Cornerstone orthopedics is very good.
Dr. Mitchell Fremling in Broomfield is very good

Just a couple of quick insights from the medical literature:

Surgery is the treatment of choice for advanced stages of the disease, which is described as impaired function and progressive contracture. The two primary surgical approaches are fasciectomy, which refers to excision of the diseased fascial bands, and fasciotomy, which refers to transection of the cords. Surgery is generally successful initially, but recurrence rates remain high. Limited surgical interventions appear equivalent to aggressive interventions.

Percutaneous needle aponeurotomy is a less-invasive approach to treatment of the disease, with variable success rates depending on the location of the cord. There is some data comparing surgical fasciotomy to aponeurotomy, which supports fasciotomy for more advanced stages of the disease.

Collagenase Injection is a good option for patients who have failed conservative therapies and do not want to proceed with surgery and appears to be most effective in early stages of the disease. Recurrence rates remain high, quoted in one study at around 35%, and depending on many different patient factors. There is a paucity of long-term outcomes data for collagenase injection.

Overall, treatment choice will be determined by patient preference and the severity of the disease. Unfortunately, there is no therapy that completely stops the progression of the disease, perhaps due to the underlying genetic nature of the disease. Experience is key. Find a provider with experience, and be conservative if the disease is in it's infancy.

Good luck!

Source:
Uptodate

Dr. Timothy Pater is one of the top (if not THE top) orthopedic hand surgeons in this area. He practices with Front Range Orthopedics and Spine in Longmont.

I know he's not in Boulder, but nadir Shourbaji (Lone Tree UCH Aurora)just operated on my elbow a month ago with great results. He is looking at my hand and says"you'll tell me when it's time"
Good guy, young, experienced and knows the stresses of climbing on the body

+1 for Dr. Conyers at Boulder Orthopedic. Based on my status he didn't recommend anything other than keep climbing and follow up if things progressed. I would try anything to put off surgery.

Looks like Kenny Duncan retired. Bummer, he would have been the man being a bad ass climber himself.