This factsheet is for people who are having Dupuytren’s contracture surgery (fasciectomy), or who would like information about it.
Fasciectomy is carried out to correct fingers that have become fixed in a bent position as a result of Dupuytren’s disease.
You will meet our surgeon carrying out your procedure to discuss your care. It may differ from what is described here as it will be designed to meet your individual needs.
- About Dupuytren’s contracture surgery
- Diagnosis of Dupuytren’s contracture
- What are the alternatives to Dupuytren’s contracture surgery?
- Preparing for Dupuytren’s contracture surgery
- What happens during Dupuytren’s contracture surgery
- What to expect afterwards
- Recovering from Dupuytren’s contracture surgery
- What are the risks?
About Dupuytren’s contracture surgery
The procedure most commonly used to correct Dupuytren’s contracture is fasciectomy. This involves cutting open the skin on the palm of your hand and fingers and removing the underlying tissue that has become thickened and tight and is causing your fingers to stay bent inwards. This tissue appears as ‘cords’ under the skin of your hand.
Diagnosis of Dupuytren’s contracture
If you think you have Dupuytren’s contracture and it’s causing you problems, come and see our doctor. He will usually be able to diagnose it by examining you and asking you about your symptoms.
Preparing for Dupuytren’s contracture surgery
Our surgeon will explain how to prepare for your procedure.
Fasciectomy is usually done as a day-case procedure. This means you have the procedure and can go home the same day. The operation is done under regional or general anaesthesia. Regional anaesthesia means that the pain and feeling from your whole arm will be blocked, but you will stay awake during the operation. General anaesthesia means you will be asleep for the whole operation. Our surgeon will discuss your options with you.
Our surgeon will discuss with you what will happen before, during and after your procedure, and any pain you might have. This is your opportunity to understand what will happen, and you can help yourself by preparing questions to ask about the risks, benefits and any alternatives to the procedure.