Surgical options

For patients with Dupuytren’s contracture, corrective surgery is the mainstay of treatment.22 It is usually performed when contracture of the metacarpophalangeal joint (the joint closest to the palm) is more than 30 degrees or when there is a 15 degree contracture of the proximal interphalangeal joint (the middle joint halfway down the finger).25

Fasciectomy is a treatment option that involves surgery during which the whole of the cord is removed (rather than cut). The cord can be removed in three possible ways:12 

  • Limited fasciectomy: the affected tissue (the cord) is removed and the wound is then stitched up and dressed.

  • Radical fasciectomy: all the connective tissue is removed and the wound is then stitched up and dressed.

  • Dermofasciectomy: all connective tissue (including the skin) is removed and the wound is then sealed with a skin graft.

Fasciotomy is another procedure where a surgical cut (called an incision) is made into the hand.
A surgeon then uses a scalpel to cut the cord. Afterwards, the wound is stitched up and dressed. This procedure is generally performed under local anaesthetic in a day surgery or doctor’s office without any need for a hospital stay.12

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Dupuytren’s disease

Peyronie’s disease