Dupuytren’s Release

There are several techniques for performing Dupuytren’s release, and the choice of procedure depends on the severity of the contracture and the specific needs of the patient. The main types include:

Needle aponeurotomy, also known as needle fasciotomy, is a minimally invasive technique where a needle is used to puncture and break the thickened cords of tissue. This procedure is typically performed under local anesthesia and involves making several small punctures in the palm to release the tension in the affected cords.

The benefits of this approach include a shorter recovery time and less invasiveness compared to open surgery. However, it is generally suitable for less severe cases and has a higher recurrence rate compared to other surgical options.

Open fasciotomy involves making an incision in the palm to directly access and cut the thickened cords. This procedure allows the surgeon to release the contracted tissue, thereby straightening the fingers.

Open fasciotomy is effective for more severe contractures and provides more immediate and significant relief. However, it involves a longer recovery period and carries a higher risk of complications compared to needle aponeurotomy.

Partial fasciectomy involves removing the thickened tissue through an incision in the palm. This procedure is performed under regional or general anesthesia. By excising the affected cords, this method aims to provide a more permanent solution with a lower recurrence rate.

While partial fasciectomy is more invasive and involves a longer surgery and recovery time, it is effective for moderate to severe contractures and offers lasting results.

Dermofasciectomy is a more extensive procedure that involves removing the affected skin along with the underlying thickened tissue and replacing it with a skin graft. This technique is particularly suitable for severe or recurrent cases of Dupuytren’s contracture.

Although dermofasciectomy has a longer recovery time and is more complex, it provides a robust solution for preventing recurrence and significantly improving hand function.

• Improved Hand Function: Restores the ability to straighten the fingers, enhancing overall hand function.
• Pain Relief: Reduces or eliminates the pain associated with the contracture.
• Enhanced Quality of Life: Allows patients to perform daily activities more easily and comfortably.
• Long-term Results: Provides lasting relief from Dupuytren’s contracture, especially with techniques like partial fasciectomy and dermofasciectomy.

Recovery from Dupuytren’s release varies depending on the type of procedure performed and the individual patient’s condition. After surgery, it is crucial to keep the hand elevated to reduce swelling and follow wound care instructions to prevent infection. Physical therapy is often recommended once the initial healing phase is complete. Engaging in hand therapy exercises can help restore strength, flexibility, and range of motion.

Regular follow-up visits with the healthcare provider are essential to monitor healing and progress. During the recovery period, patients should avoid heavy lifting and strenuous activities until fully healed to ensure proper recovery and optimal outcomes.

Determining whether Dupuytren’s release is the appropriate treatment involves a thorough evaluation by a specialist. Factors to consider include the severity of the contracture, the impact on daily activities, and overall health.

If you are experiencing symptoms of Dupuytren’s contracture, contact Excel Health for a comprehensive evaluation and personalized treatment plan. Our experienced team is dedicated to providing the highest quality care to help you regain hand function and improve your quality of life.