What is Dupuytren’s Surgery?
Dupuytren’s surgery is a procedure used to treat Dupuytren’s contracture, a condition in which the connective tissue in the palm thickens and tightens, causing the fingers—most commonly the ring and little fingers—to bend inward. This progressive hand condition makes it difficult to straighten the affected fingers, impacting daily tasks. Surgery aims to release or remove the thickened tissue to restore hand function.
When is Dupuytren’s Surgery Recommended?
Surgery may be recommended when non-surgical options are no longer effective and functional limitations interfere with daily activities. Common indications include:
- Finger flexion contracture greater than 30 degrees at the MCP (knuckle) joint
- Inability to lay the hand flat on a surface (positive tabletop test)
- Progressive worsening of finger bending over time
- Recurrence after previous treatment (e.g., needle aponeurotomy or collagenase injection)
- Difficulty performing tasks like grasping objects or putting on gloves
How is Dupuytren’s Surgery Performed?
The most common surgical approach is limited fasciectomy, where the surgeon makes incisions in the palm and possibly the fingers to carefully remove the thickened cords of fascia. In more advanced cases, a dermofasciectomy may be required, which involves removing the diseased skin and tissue and covering the area with a skin graft. The procedure is typically done under regional or general anesthesia and may be performed on an outpatient basis.
What to Expect During Recovery After Dupuytren’s Surgery
Recovery involves wound care, splinting, and hand therapy. Patients typically wear a splint to keep fingers extended for several weeks. Physical therapy helps regain strength, flexibility, and function. Most people return to light activities within a few weeks, though full recovery can take several months, depending on the extent of surgery.
What are the Risks of Dupuytren’s Surgery?
As with any surgery, there are potential risks. These may include:
- Infection
- Stiffness or reduced range of motion
- Nerve or blood vessel injury
- Delayed wound healing
- Recurrence of contracture
- Scarring or cosmetic concerns
What are the Benefits of Dupuytren’s Surgery?
When successful, Dupuytren’s surgery offers several advantages:
- Improved finger extension and hand function
- Relief from contracture-related disability
- Long-term correction of deformity
- Enhanced ability to perform daily tasks
- Improved hand appearance and quality of life
