Fasciectomy

 

This is the commonest operation performed for Dupuytren's contracture. It involves opening up the skin of the palm and then carefully dissecting the tough fibrous tissue away from the adjacent nerves and vessels so that it can be safely removed.

Fasciectomy

The incision I prefer is longitudinal as it allows me to adjust the length of the wound to accommodate for skin tension using a technique called a "z-plasty". A useful, much more detailed description of a z-plasty can be found at the following link The Basic Z-Plasty

Please follow the instructions following surgery with respect to elevation, cleanliness and pain relief etc. as described in the General Advice section.

The first clinic visit will be the following week and you will be seen by the Hand Therapist.  The bandage will be removed and the dressings changed.  A custom made splint may be fashioned to support the hand and relevant fingers.

Once the wound has healed (usually 2-3 weeks) then all dressings can be dispensed with. Depending on the initial severity of the contracture you may be required to use the splint for longer and especially at night (sometimes for up to 4 months post-surgery).