Dupuytren’s fasciectomy

 

Dupuytren’s fasciectomy is a surgical operation designed to alleviate the symptoms of a disease called Dupuytren’s contracture. 

Dupuytren’s contracture occurs when scar-like tissue forms just underneath the skin of your fingers and in the palm of your hand. The tissue usually builds up over a number of months or years and can eventually force your fingers into an uncomfortable curled up position. It is this curled up position of the fingers that is named Dupuytren’s contracture, the contracture is caused by Dupuytren’s disease.

Before considering surgery your doctor may attempt to alleviate the symptoms by performing a needle aponeurotomy, but there is a high risk the condition will return. Botox or collagenase treatments may also be considered but these are new options and it is unclear how effective they are in the long term.

The most effective treatment for Dupuytren’s contracture is surgery. The surgeon will assess your personal condition before deciding where and how to operate. Common methods for surgically treating the contracture range from cutting a fibrous band in your palm to removing all affected skin and replacing it with skin grafts.

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