Dupuytren’s Disease Surgery

There are two common surgical options for managing Dupuytren’s Disease:

  1. Fasciectomy: This is the most common type of surgery for this condition. During a fasciectomy, the surgeon makes an incision in your hand and removes the thickened tissue (fascia). The wound is then closed with stitches and the hand is bandaged.
  2. Needle Aponeurotomy (NA): In this less invasive procedure, a needle is used to puncture and break up the thickened and tightened cords of tissue. This can help restore some movement, especially if the disease is caught early.

Expected Surgery Outcome

The main goal of these surgeries is to improve the functionality of the hand and reduce discomfort. Many patients experience significant improvement in hand function and relief of symptoms. However, as Dupuytren’s Disease is a chronic condition, symptoms may recur over time and further treatment may be necessary.

Potential surgery complications and risks

Like all surgeries, these procedures come with potential complications which include infection, nerve damage, and recurrence of the disease.

Risks

  • Infection: As with any surgery, there is a risk of infection. Post-operative care instructions should be followed to minimise this risk.
  • Nerve Damage: There is a chance of inadvertent damage to nerves during the procedure, which may lead to numbness or tingling.
  • Recurrence: Dupuytren’s Disease may recur even after successful surgery, necessitating further treatment.

Recovery after surgery

After surgery, the hand is usually bandaged and the patient is advised to keep the wound clean, dry, and elevated. The patient may be encouraged to gently move their fingers to reduce stiffness. Physiotherapy may be recommended to restore strength and flexibility in the hand. The recovery period can vary, but most patients can expect to see improvement within a few weeks to a few months. During this time, some discomfort and weakness may be experienced, but these symptoms should improve with time.