Dupuytrens Fasciectomy

Dupuytrens Fasciectomy at West Midlands 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. 

Dupuytrens Fasciectomy at Ramsay

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.

West Midlands Hospital Specialists

You're in control

Flexible payment options

to suit you

payment-plan-icon

0% Payment Plans

Spread the cost of your treatment with fixed, monthly payments over a time period to suit you.

Find out more
self-funding-icon

Self-funding Patients

We offer an alternative range of ways to pay, so you can choose which one best suits you and your finances.

Find out more
medical-insurance

Private Medical Insurance

Use your private medical insurance to fund your treatment through our simple referral process.

Find out more

Related Treatments

Hand and Wrist Surgery

Hand and wrist surgery is broad ranging orthopaedic specialty. It is normally performed by an orthopaedic consultant with a special interest in hands and wrists to treat several injuries or damages

Find out more

Latest from West Midlands Hospital

Congratulations to Jade for becoming a fully qualified medical secretary

Congratulations to Jade for becoming a fully qualified medical secretary

We are delighted and so proud to share that Jade has passed her final exam, achieving her AMSPAR Qualification. (The Association of Medical Secretaries, Practice Managers, Administrators and Receptionists).

Find out more
Mr Sabur Malek is Awarded Hip and Knee Surgeon of the Year

Mr Sabur Malek is Awarded Hip and Knee Surgeon of the Year

Stourside and West Midlands Hospitlas are congratulating their Consultant Orthopaedic Hip & Knee Surgeon, Mr Sabur Malek, as he has been given the 'Hip and Knee Surgeon of the Year 2024' award in the GHP Private Healthcare Awards.

Find out more
West Midlands Hospital Opens Second Laminar Flow Theatre

West Midlands Hospital Opens Second Laminar Flow Theatre

As part of the site developments at West Midlands Hospital, they have recently invested into opening a second laminar flow theatre. 

Find out more
View More
Paying for yourself?

Get in touch

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

We're here to help.

BOOK ONLINE

Or send us a message...

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.