Mr Omar Tillo
Consultant Plastic Surgeon
Dupuytren’s disease starts with nodules which appear in the ligaments in the palm of your hand. These nodules then create cords which can prevent the finger from being straightened. The condition will slowly progress and will take years to worsen. As the condition becomes more severe, the less likely it is that treatment will be fully successful.
There is no known cause for Dupuytren’s disease, however, it is often genetic. It is more common in men than women, and will most often occur in middle age or later. It is more commonly found in northern Europe and Scandinavia. Smoking, alcohol consumption and medical conditions such as diabetes or epilepsy can often cause Dupuytren’s disease.
Currently, there is no cure for Dupuytren’s disease. Surgery can help but the disease will still be present.
Prior to undergoing surgery, you may wish to try non-surgical options, such as steroid injections, which may offer a temporary solution.
You will be considered a suitable candidate for the procedure if you:
Prior to undergoing surgery, you will have a consultation with one of our surgeons. They will be able to assess your hand and consider whether or not you are eligible for surgery.
Prior to undergoing surgery, it is important that you understand the limitations of surgery. Dupuytren’s disease will not be eradicated, and it can come back after surgery, or return in a different finger which was previously unaffected. Surgery will improve the finger, but it may not make it completely straight. This will depend on the individual and the severity of the disease.
There are numerous surgical options available for Dupuytren’s disease. Your surgeon will be able to decide which is the best surgical method for you.
Surgical options include:
There are also numerous options which involve injections, rather than incisions. These include:
Dupuytren’s disease is more likely to reoccur with the needle options.
All procedures will be performed under a local anaesthetic, so you will not feel any pain. You will be able to return home the same day as your procedure.
Recovery will vary from person to person, and will also depend on which type of treatment you had.
Following surgery, you will notice some pain, bruising, swelling and stiffness. This is completely normal and should last a few weeks.
For the first few days, you will have to wear a splint on your hand. This will then have to be worn while sleeping for three to six months.
Your surgeon will be able to tell you hand exercises which you will need to do for the first six months.
You will be able to exercise, but you will have to avoid any gym activities or sports which involve your hand.
Dupuytren’s disease is when the fingers become stuck being bent towards the palm.
There is currently no known cause for Dupuytren’s disease. However, it is thought to be hereditary.
It occurs more often in men, and people who live in northern Europe and Scandinavia. Smoking, alcohol, and medical procedures including diabetes and epilepsy can also cause Dupuytren’s disease.
To be considered eligible for surgery, you will need to have Dupuytren’s disease. People will often opt for surgery once the disease has progressed to the stage when they can no longer make their fingers go straight.
You will need to have realistic expectations about what the surgery can achieve and understand the risks involved.
Currently, there is no known cure for Dupuytren’s disease. Surgery can help to fix any symptoms, however, the disease will still be present.
Dupuytren’s disease correction is performed under a local anaesthetic. You will be awake for the duration of the procedure.
There are numerous surgical options available for Dupuytren’s disease.
Fasciotomy involves cutting the palm and finger so the finger can be straightened. Segmental Fasciotomy takes out a section of the cord, while a Regional Fasciotomy involves a long incision which removes the entire cord. You may also be able to have a Dermofasciotomy, which removes the cord and the overlying skin, with a skin graft taking place to replace the skin on the hand. This option is more suitable for those who do not wish to have a recurrence of Dupuytren’s disease.
You may also wish to be treated with needles or have medicine injected into the cord. While these options are effective, they are more likely to result in a recurrence of Dupuytren’s disease.
The recovery period will be different for every person and will vary depending on which surgical method was undertaken.
You will feel some pain and discomfort, as well as experience some bruising and swelling, for the first few weeks.
You will have to wear a splint on your hand to support the wrist for the first few days. After this point, you will need to continue wearing the splint while sleeping for three to six months.
You will have to avoid exercises and sports which involve your hand for at least two weeks.