Dupuytrens Fasciectomy

Dupuytren’s Fasciectomy

Dupuytren’s fasciectomy is hand surgery that aims to straighten permanently curled fingers and improve hand function. It is performed to treat advanced Dupuytren’s disease, known as Dupuytren’s contracture. 

Dupuytren’s surgery with Ramsay Health Care

Ramsay Health Care works in partnership with hand surgeons who have expertise and a wealth of experience in treating Dupuytren’s disease. At each of our hospitals the surgeons are supported by a team of trained physiotherapists who can offer advice and a variety of treatment options along your care pathway. So, you can rest assured you’ll receive the best of care at your local Ramsay hospital.

What is Dupuytren’s disease?

Dupuytren's disease is a hand deformity that develops over years. It causes the fibrous layer of connective tissue that lies just underneath the skin in your palm and fingers, called fascia, to thicken and tighten.

As the fascia develop into thick cords and contract over time, your fingers can be pulled in towards your palm, known as a Dupuytren's contracture, making it difficult to straighten the affected digits. 
To a lay person, Dupuytren's disease is sometimes confused with trigger finger, a condition that can also result in bent fingers, but is an entirely different process and as such requires a different surgery, called trigger finger surgery.

What are the benefits of Dupuytren’s surgery?

Dupuytren’s surgery can help straighten fingers and improve hand function, affected by Dupuytren’s contracture.

What does Dupuytren’s surgery involve?

Dupuytren's contracture surgery divides or removes the thickened tissue in your palm and digits with the aim to treat Dupuytren’s disease.

The operation can be performed using different methods depending on your needs. Your hand surgeon will discuss your treatment options with you.

Surgical options include:

Open or needle fasciotomy – usually an outpatient procedure performed under local anaesthetic. A sharp blade or a very fine needle is inserted into the fibrous bands of your palm or fingers to divide the thickened connective tissue and release the tightness in your hand that is causing the contracture. The recurrence rate for needle fasciotomy is high.

Dupuytren’s fasciectomy – usually performed under general anaesthetic as an outpatient procedure. An incision is made in your hand and the affected connective tissue is removed. A skin graft may be required to seal your wound. Fasciectomy is used to treat more severe cases. It is more effective than fasciotomy in the long term but carries more risks.  

The main types of fasciectomy include: segmental (short segments of the cord are removed through one or more small incisions), regional (entire cord is removed through a single longer incision) and, dermo fasciectomy (cord and overlying skin is removed requiring a skin graft).

When is Dupuytren’s surgery required?

When Dupuytren's contracture becomes moderate or severe, Dupuytren’s surgery may be recommended to reduce the contracture and improve motion in the affected fingers. Dupuytren’s surgery is likely to be helpful if it has become impossible to put your hand flat on a table.

Cost of Dupuytren’s Fasciectomy surgery

If you decide to pay for your treatment, Ramsay offer an all-inclusive Total Care package, where a single one-off payment at a pre-agreed price, delivering direct access to all the treatment you need for complete reassurance. You can also spread the cost of your treatment with finance options available.

A dupuytren's fasciectomy surgery may be covered by your medical insurance policy. We advise you to check directly with your insurance provider and get written confirmation before commencing treatment. 

How soon will I recover after a Dupuytren’s surgery?

Typically, you’ll go home the same day as your Dupuytren’s surgery, although sometimes a one-night stay is recommended.

To recover well and to minimise scar tissue you may need specialised hand therapy to help improve the function and range of movement of your hand such as physiotherapy including massage, manipulation and exercise. You may also be required to wear a hand splint initially.

It can take some time to recover the function of your hand after Dupuytren’s surgery. If you have had more extensive surgery, such as a fasciectomy rather than a fasciotomy, your recovery will be longer.

You can drive again once you feel confident to control the car safely.

There is a chance the condition will return in the same place as before or somewhere else. Surgery doesn't stop the process that caused the contracture to develop in the first place. 

We are here to help - Contact Us

Find your nearest hospital that provides this treatment

or use my current location

Related Content

Image of plate with fish and vegetables

7 Tips to Keep Your Heart Healthy

Keeping your heart as healthy as possible is all about living a healthy lifestyle. There are little things you can do every day and bigger decisions that can all help with maintaining a healthy heart.

Continue Reading

What to expect from a stay in a private hospital

If you’re considering private treatment then you may be wondering what it’s like to stay in a private hospital.

Continue Reading
7 ways to manage stress

7 Ways to Manage Stress

Most of us are exposed to stress at one time or another in our lives, whether from work, family, or other responsibilities and circumstances. A little stress can often be beneficial, but when we’re put under too much pressure it has the potential to quickly become a problem.

Continue Reading
burn calories hero

Fun Ways to Burn Calories

Here are some more accessible and fun ways to exercise and burn calories at home.

Continue Reading
10 minute workout hero

10-Minute Workouts for Exercising at Home

Finding the time to workout can be tough, so here are some 10-minute exercises that can be fitted into your daily schedule at any time

Continue Reading

Best Short Workouts to Keep Fit at Home

We’ve chosen some of the best workouts to do at home so you can get back to being active and improve your fitness levels.

Continue Reading

How to Get a Good Night's Sleep

Here are some tips which might help you achieve easier sleep and a deeper slumber.

Continue Reading
Boost Immune System Ramsay

How To Boost Your Immune System

To help you boost your immune system, we’ve come up with five handy ways to keep things running at their maximum capacity.

Continue Reading

Common Causes Of Hand Pain And How To Find Relief

Read here on the causes of hand pain and how to find relief from Ramsay Health Care UK. Including other injuries such as wrist injury.

Continue Reading

6 lifestyle choices to help prevent heart disease

Keeping a healthy heart is the most important thing you can do to prevent heart disease. Here are 6 lifestyle choices to consider:

Continue Reading

Paying for yourself?

Get in touch

Need some advice on a treatment price or booking an initial appointment?

We're here to help.

Or send us a message...