Dupuytren's Disease (cont.)
IN THIS ARTICLE
Surgery is a treatment option for severe cases of Dupuytren's disease. The goal of surgery is to restore the use of your fingers and hand. In most cases, surgery removes the diseased soft-tissue bands that connect your finger joints to the palm, and may involve a skin graft. Total hand function may not be completely restored by surgery. Even with successful surgery, thickened palm tissue may develop again in the same place or in a new area of the hands. Reoperation is often necessary to keep hand function.
You may improve the outcome if you do postsurgical rehabilitation with finger exercises and splints, as directed by your health professional.
Depending on your condition, your surgeon will choose one of the following surgical procedures:
In rare cases, the middle joint of the finger is fused (permanently joined) to keep it from bending in.
What to think about
When you are deciding about surgery, think about:
Needle aponeurotomy is a form of fasciotomy that is done as an outpatient procedure with local anesthesia. It has been done for several years in France, but it is just being introduced in the United States. This procedure may be good for people who cannot have surgery, or as a way to delay surgery. But it only partially corrects pulling or contracture between the fingers and the palm. Also, there is chance of damaging nerves of the adjacent fingers. And there is a high chance the contracture will come back.
eMedicineHealth Medical Reference from Healthwise
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