Dupuytrens Fasciectomy Dupuytrens - Edinburgh Clinic
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Dupuytrens Fasciectomy

Information regarding Dupuytren’s fasciectomy is provided on this page. If you have any questions about this procedure, it is best to contact a member of your professional healthcare team or speak to your GP.

Dupuytren’s disease explained

Dupuytren’s disease causes scar-like tissue to form just below the skin of the palm and the fingers. Over a period of time the fibrous tissue contracts and results in one or more fingers curling up into the palm. This is called Dupuytren’s contracture.


Figure 1
Dupuytren’s contracture causing deformity of fingers

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A Dupuytren’s fasciectomy explained

After the operation, you should be able to straighten your fingers more and be able to use your hand more effectively.

Explaining the alternatives

Alternative treatments include a needle aponeurotomy performed by a surgeon, although this can increase the chances of the contracture returning.

Radiotherapy can be offered as a treatment option at select centres.

There is a new treatment that involves injecting a drug called collagenase into the bands of tissue, but it is unclear how effective this actually is.

Surgery is considered the most effective treatment for Dupuytren’s disease.

The surgery explained

Surgery can include several options, from cutting the fibrous band in the palm of your hand to removing the affected skin and replacing with skin grafts. There is a range of anaesthetic techniques available.

General complications

  • Infection of the surgical site (wound)
  • Pain
  • Scarring
  • Bleeding

Specific Complications

  • Numbness
  • Injury to an artery in the finger
  • Return of Dupuytren’s disease
  • Stiffness of the finger joints
  • Incomplete correction of the Dupuytren’s contracture
  • Wound-healing problems
  • Severe pain, stiffness and loss of use of the hand (complex regional pain syndrome)

Expected recovery timeline

In most cases, you should be able to go home the same day as the surgery.

Regular exercise can help you resume normal activities promptly.

Always get advice from your GP or healthcare professional before embarking on exercise.

Your hand may take a while to settle down following the operation.

In conclusion

The function of your hand should improve and you should be able to straighten your fingers after a Dupuytren’s fasciectomy.

References: 

EIDO Healthcare Limited – The operation and treatment information on this website is produced using information from EIDO Healthcare Ltd and is licensed by Aspen Healthcare. 

The information should not replace advice that your relevant health professional would give you.