What kinds of surgery are recommended for dupuytrens disease?
Surgery is the mainstay of treatment for Dupuytren’s disease. Surgery is indicated once the patient and surgeon agree that the condition is causing significant problems for the patient, and that these problems are likely to be improved by surgery. Sometimes only the most affected fingers will be operated on. If several fingers are severely affected, then all of these may be operated on. Surgery for Dupuytren’s contracture is called “fasciectomy” because it involves the removal of the abnormal palmar fascia that causes the flexion deformity. The abnormal fascia is sometimes called “Dupuytren’s tissue”. Surgery is usually done on an outpatient basis which means that the patient will go home the same day of surgery. It can be done with the patient asleep (general anesthetic) or awake with the arm “frozen” (local or regional anesthetic). The decision as to which type of anesthetic to use is usually made by the patient and their surgeon or anesthetist. During the operation the surgeon makes
