The purpose of this page is to inform you about the details of a Dupuytren’s fasciectomy. Your GP or health care team should be able to fill in any gaps if you need further information.
Scar-like tissue on the palm of your hand and finger are typical symptoms of the condition known as Dupuytren’s disease. If the condition worsens the fibrous tissue can cause the fingers to curl into the palm as the tissue contracts. This is known as Dupuytren’s contracture.
Surgery will give you back the use of your hand and straightened fingers.
Is there a substitute for surgery?
Surgery is by far the most effective treatment for this condition. One other possibility that is sometimes used is a needle aponeurotomy. But this procedure does not offer the best chances regarding the return of the disease. A treatment which is as yet unproven over time, is an injection of the drug collagenase into the band of tissue causing the problem. Radiotherapy can be offered as a treatment option at select centres.
All you need to know about the surgery
The surgeon may make a cut in the fibrous tissue in the palm or remove the fibrous tissue repairing it with skin grafts. The choice of anaesthetic procedure depends on the surgical technique.
Post surgical complications – general
Post surgical complications – specific
Stiff finger joints
No feeling in the parts of the hand operated on
Fingers are not straight
Injury to the finger artery
The surgical wound does not heal correctly
Return of Dupuytren’s disease
Complex regional pain indicated by severe pain, stiffness and loss of hand use
Discharge on same day as surgery. Keep the hand and fingers moving gently; exercise helps everything to return to normal more quickly. Check with your doctor before exercising. The hand may take a little time to settle down and feel normal again.
The procedure Dupuytren’s fasciectomy has good results in straightening fingers and returning hand use.