Get a grip of the treatments

Everyone with Dupuytren's contracture should get an individual evaluation regarding the best treatment. Discuss the different treatment options with your doctor. He or she will provide you with further information and advice on the most suitable treatment option for you.

Surgical options

Depending on the procedure, surgical options are carried out using either local or general anaesthetic and may be performed in a day surgery or doctor's office, sometimes with no need to stay in hospital.

Fasciectomy

This treatment option involves surgery during which the whole of the cord is removed (rather than cut).1,2

The cord can be removed in three possible ways

  • Limited fasciectomy, the affected tissue (the cord) is removed, the wound is then stitched up and dressed. 
  • Radical fasciectomy: all the connective tissue is removed, the wound is then stitched up and dressed.
  • Dermofasciectomy: all connective tissue (including the skin) is removed and the wound is then sealed with a skin graft.

Fasciotomy

In the procedure, a surgical cut – called an incision – is made into the hand. A surgeon then uses a scalpel to cut the cord. Afterwards, the wound is stitched up and dressed. This procedure is generally performed under local anaesthetic in a day surgery or doctor's office with no need to stay in hospital.1

All treatments have different side effects. Surgery generally have a longer rehabilitation period than non-invasive treatment options. And while all treatments can improve the contracture, none of them can cure the disease. The contracture may also reoccur in the future.

Sources:

  1. Townley WA et al. BMJ. 2006;332:397-400.
  2. Armstrong et al. J Bone Joint Surg [Br] 2000;82-B:90-4.
  3. Arkkila PE, et al. J Reumato. 1997;24:153-9.