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

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 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.

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.

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.

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.

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.

Stourside Hospital Specialists

Mr Sujit Agarwal

Mr Sujit Agarwal is a Consultant Trauma & Orthopaedic Surgeon in Halesowen, West Midlands
Read more
Mr Mushtaq Ahmed

Mr Ahmed is a Consultant Orthopaedic surgeon in the West Midlands, specialising in Sports injuries, Arthroscopic Knee Surgery and treatment of lower back pain
Read more
Mr Tanweer Ashraf

Mr Tanweer Ashraf is a Consultant Orthopaedic Surgeon, specialising in Knee Surgery in the West Midlands
Read more
Mr Rajeev Bansal

Mr R Bansal is a Consultant Orthopaedic Surgeon in Halesowen, West Midlands who specialises in shoulder and elbow surgery.
Read more
Mr Muhammad Sohail Butt

Mr Sohail Butt is a Consultant Orthopaedic Surgeon in the West Midlands and Birmingham, specialising in shoulder, elbow, hand and wrist surgery
Read more
Mr Fouad Chaudhry

Mr Fouad Chaudhry is a Consultant Trauma and Orthopaedic Surgeon in the West Midlands specialising in hip and knee surgery
Read more
Professor Edward Davis

Professor Davis is a Consultant Orthopaedic Surgeon in Stourbridge and the West Midlands, specialising in hip and knee surgery
Read more
Mr Kowshik Jain

Mr Kowshik Jain is a Consultant Orthopedic Surgeon in the West Midlands who specialises in Foot and Ankle Surgery
Read more
Mr Edward Laugharne

Mr Edward Laugharne is a Consultant Orthopaedic Surgeon in Halesowen, West Midlands who specialises in hip and knee replacement surgery)
Read more
Mr Andraay Leung

Mr Leung is a Consultant Orthopaedic Spinal Surgeon in the West Midlands.
Read more
Mr Sabur Malek

Mr Sabur Malek is a Consultant Orthopaedic Surgeon in the West Midlands who specialise in Hip and Knee Surgery
Read more
Mr Alastair John Niall Marsh

Mr Alastair John Niall Marsh is a Consultant Orthopaedic Surgeon in the West Midlands, specialising in Foot and Ankle Surgery.
Read more
Mr Qutub Qadri

Mr Qutub Qadri is a Consultant Orthopaedic Surgeon specialising in hip, knee, foot and ankle, working in the West Midlands.
Read more
Mr Sohail Quraishi

Mr Sohail Quraishi is a Consultant Orthopaedic Surgeon in the West Midlands who specialises in hip and knee surgery.
Read more
Mr Maneesh Sinha

Mr Maneesh Sinha is an Orthopaedic Consultant in the West Midlands specialising in upper limb surgery
Read more
Mr Manoj Veettil

Mr Manoj M Veettil is a Trauma & Orthopaedics Consultant in the West Midlands who specialises in Hip and Knee surgery
Read more
Mr Matthew Waites

Mr Matthew Waites is a Consultant Orthopaedic surgeon in the West Midlands who specialises in Hip and Knee surgery
Read more