Dupuytren's Disease - Surgery
Surgery is a treatment option for severe
Dupuytren's disease. The goal of surgery is to restore
the use of your fingers and hand. In most cases, surgery removes the diseased
soft-tissue bands that connect your finger joints to the palm, and may involve
a skin graft. Total hand function may not be completely
restored by surgery. Even with successful surgery, thickened palm tissue may
develop again in the same place or in a new area of the hands. Reoperation is
often necessary to keep hand function.
You may improve the
outcome if you do postsurgical rehabilitation with finger exercises and
splints, as directed by your health professional.
- Dupuytren's Disease: Should I Have Hand Surgery?
Depending on your condition, your surgeon will choose one
of the following surgical procedures:
- Fasciectomy. Removal
of the affected tissue (fascia) is the most common procedure.
- Fasciotomy. The tight cords in the palm are divided through
small incisions. This procedure is used for people who cannot have more
extensive surgery or
- Amputation. Removal of one or more fingers is rarely needed
but may be done if earlier procedures have resulted in nerve or vessel damage
or the disease has recurred repeatedly.
In rare cases, the middle joint of the finger is fused
(permanently joined) to keep it from bending in.
What to think about
When you are deciding about
surgery, think about:
- The presence of any other health conditions
or diseases, such as
- Your willingness to go through
postsurgery rehabilitation, which is necessary in order to restore hand
- How bad your loss of hand function is and how you are
affected in your daily activities.
- Your age. The risk of
complications and treatment failure are greater with
aponeurotomy is a form of fasciotomy that is done as an outpatient procedure
local anesthesia. It has been done for several years
in France, but it is just being introduced in the United States. This procedure
may be good for people who cannot have surgery, or as a way to delay surgery.
But it only partially corrects pulling or contracture between the fingers and
the palm. Also, there is chance of damaging nerves of the adjacent fingers. And
there is a high chance the contracture will come back.