Treating Dupuytren's Contracture

Surgery

As with many conditions, an operation for Dupuytren's contracture is only recommended as a last resort if other treatment methods have been unsuccessful. Patients with early or middle stages of this condition may find relief with nonsurgical options, while surgery may be necessary to relieve severe symptoms and restore finger function and mobility. The operation for Dupuytren's contracture may be either limited or radical depending upon the severity of the symptoms. In very severe cases, surgeons may need to remove all of the affected tissue, and a skin graft may be needed. While the condition may reoccur following surgery, surgical methods can provide more effective relief than conservative treatment and a longer window of time free of symptoms. In general, patients can expect to have five years post-surgery before the contractures are likely to regrow. The recovery time after this operation varies, and patients may need to use a hand splint. Frequent physical therapy is also needed for several months after the procedure.

Limited Fasciectomy

There are many variations to a limited fasciectomy, and the specific on used depends on the severity and progression of the patient's condition, though the goal is always the same. During this procedure, the thickened part of the fascia tissue is surgically removed to restore mobility and flexibility to the patient's fingers. The surgeon will operate through the palm of the hand, making incisions into the fascia tissue. Once inside, they will cut away the thickened cord. If the skin attached is also removed, a graft will be used to cover the wound. The incision is then closed with stitches and bandaged, and a splint is applied to provide support to the patient's fingers. While the procedure is straightforward, there is always a risk of complications, such as an infection, skin discoloration, scarring, and a rejected graft.