When it may be considered
- A contracture that interferes with washing, dressing, work or other activities
- Progressive finger deformity where surgery is considered appropriate
- Recurrent disease requiring individual assessment
Hand surgery ↗
Specialist hand surgery
Dupuytren’s fasciectomy
Treating Dupuytren’s contracture when progressive cords prevent the fingers from straightening.
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Understanding the procedure
What does treatment involve?
Dupuytren’s disease causes thickened tissue in the palm to form nodules and cords. As a cord contracts, one or more fingers may be drawn towards the palm. Fasciectomy removes the affected tissue responsible for the contracture, aiming to improve extension and hand function.
Your treatment
- Assessment of the involved fingers, joints, skin and previous treatment
- Removal of the diseased fascia through carefully planned incisions
- Skin grafting or another approach may occasionally be required in more complex cases
Recovery and rehabilitation
- Elevation, wound care and early guided movement are important
- A splint and hand therapy may be recommended
- Dupuytren’s disease can recur or progress elsewhere despite successful treatment
Your consultation
Assessment before recommendation.
Symptoms, examination findings, work, hobbies and the demands placed on your hand are considered together. Relevant imaging or nerve studies are reviewed where required.
You will receive a clear explanation of the available options, likely benefits, limitations, material risks and expected rehabilitation before deciding how to proceed.
Common questions
Useful information
01Does surgery cure Dupuytren’s disease?+
Surgery treats the existing contracture but does not remove the underlying tendency to Dupuytren’s disease. Recurrence or progression can occur.
02When should treatment be considered?+
The decision depends on the degree of contracture, the joints involved and how the hand is affecting daily life rather than the presence of a painless nodule alone.
03Will I need hand therapy?+
Therapy and splintage are commonly used to support movement, wound care and function after fasciectomy.
This information is general and does not replace an individual consultation. The most appropriate treatment and recovery plan depend on your diagnosis, examination findings and personal circumstances.
Private consultations
Begin with a conversation.
Discuss your symptoms and receive an individual assessment with clear, considered advice.
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