Lisa Frantz, MD

University of Iowa, Iowa City, IA — Hand Surgery Fellowship
University of Kansas, Wichita, KS — Orthopedic Surgery Residency
University of Kansas, Wichita, KS — Doctor of Medicine
University of Nebraska, Omaha, NE — Masters of Physician Assistant Studies
Wichita State University, Wichita, KS — BS Physician Assistant
Tabor College, Hillsboro, KS — BA Chemistry

Board Certified Orthopedic Surgeon with added subspecialty of surgery of the hand

American Medical Association

Fellow American Academy of Orthopaedic Surgeons

Fellow American Board of Orthopaedic Surgery

Fellow American College of Occupational and Environmental Medicine

Fellow International Academy of Independent Medical Examiners

Fellow American Society for Surgery of the Hand

Fellow American Association for Hand Surgery

Fellow American College of Surgeons

Kansas Medical Society

Kansas Orthopaedic Society

Medical Society of Sedgwick County

Mid-American Orthopedic Association

Mid-Central States Orthopaedics Society

ACOEM – Work Fitness and Disability Roundtable

– Hand
– Wrist
– Forearm
– Elbow
– Arm
– Shoulder
– Neck
– Work Comp Injuries
– Medical-Legal & IME Examiner

Minor inoffice procedures are available for the patient’s convenience and are offered with cost savings. These procedures are commonly described as wide-awake-hand-surgery or WALANT.

How It Works:
A local anesthetic is used to numb the area for surgery

Conditions:
While not every procedure can be performed with wide-awake hand surgery, there are many, with the number of conditions continuing to increase. Examples of common conditions include:
– Nerve compression
– Tendon disorders and repairs
– Ligament repairs
– Fracture fixation
– Arthritic conditions
– Mass or skin biopsy or removal

Advantages:

1. Avoids sedation or general anesthesia with the associated comorbidity risks with reduction in nausea, vomiting and general fatigue.
2. Often able to return to daily activities after the procedure
3. IV usually not required
4. Avoid fasting and lab work
5. Often not required to stop regular medications
6. Convenient for patient
7. Offered with cost savings
   
   

Dupuytren contracture is a painless condition that causes one or more fingers to bend toward the palm of the hand. The affected fingers can’t straighten completely. This can easily be tested for by placing your hand flat on a table. If the palm does not touch, you have a “positive table top test”. You may first experience knots or bumps of tissue forming under the skin that look like calluses. These eventually create a thick cord that cause the fingers bending towards the palm. Dupuytren contracture most often affect the ring and litter fingers which can interfere with everyday activities such as placing your hands in your pockets, putting on gloves, shaking hands or working at your job.

The condition occurs in families and gradually gets worse with time. There’s no cure for Dupuytren contracture but there are multiple treatment options. XIAFLEX® is the only FDA-approved nonsurgical treatment for Dupuytren’s contracture when a “cord” can be felt. XIAFLEX® (collagenase clostridium histolyticum) specifically targets the tissue that forms the cords and is a prescription medicine that requires injection into the cord.

Symptoms
Dupuytren contracture gets worse slowly, over years and is more common in men.

The condition begins with a firm lump in the palm of the hand. This lump might
be a little tender, but usually isn’t painful. Over time, the lump can extend
into a hard cord under the skin and out towards the fingertip.

Risk Factors for Dupuytren Contracture
Age: Dupuytren contracture occurs most commonly after the age of 50.

Sex: Men are much more likely to develop Dupuytren than are women. In men,
symptoms may be worse and progress more quickly.

Ancestry: People of Northern European descent are at higher risk of the
disease.

Family history: Dupuytren contracture often runs in families.

Diabetes: People with diabetes have an increased risk of Dupuytren contracture.

Tobacco and alcohol use: Smoking tobacco and drinking alcohol both increase the risk of Dupuytren contracture.

How It Works:
Although blood is mainly a liquid (called plasma), it also contains small solid components (red cells, white cells, and platelets). The platelets are best known for their importance in clotting blood. However, platelets also contain hundreds of proteins called growth factors that are very important in the healing of injuries.

PRP is plasma with many more platelets than what is typically found in blood. The concentration of platelets – and, thereby, the concentration of growth factors – can be 5 to 10 times greater (or richer) than usual.

Although it is not exactly clear how PRP works, laboratory studies have shown that the increased concentration of growth factors in PRP can potentially speed up the healing process.

To speed healing, the injury site is treated with the PRP preparation that is obtained from the individual’s own blood. This can be done by carefully injecting the PRP into the injured area. This procedure can be done in the office.