Dupuytren's disease is an inherited condition where scar-like tissue forms just beneath the skin of the fingers and the palm of the hand and causes it to become hard and thicken.
Eventually over time the fibrous tissue can contract and force one or more fingers to curl up into the palm and making it impossible to straighten the fingers. This is known as Dupuytren's contracture.
Your surgeon will make a range of small cuts cutting into the fibrous band in the palm of your hand. This will allow the surgeon to then remove any affected skin and replace it will skin grafts where appropriate.
There are a variety of anaesthetic options available and your surgeon and anaesthetist will discuss this with you prior to surgery.
After surgery patients should find that they have more mobility in their hand and they will be able to straighten the affected fingers once more.
For patients who prefer not to have a surgical procedure then the surgeon may perform a needle aponeurotomy. The needle aponeurotomy is a minimally invasive procedure and allows the surgeon to use the tip of the needle to divide the contracted palmar fascia.
The benefit of this procedure is that the hand is not widely opened so there will be a smaller chance of scar tissue forming. It does however have a higher chance of the contracture coming back sooner when compared to tradition open surgery to the hand.
Patients are usually able to go home the same day following surgery and can return to light activities immediately. Strenuous work and sports are not allowed for one week post operation though. For those patients who have opted for a needle aponeurotomy, they may need to wear a splint at night time.