Fasciectomy
Surgery that removes thickened fascia in the hand to improve finger movement in Dupuytren’s contracture.
Overview
Surgery may be considered when bending of the fingers significantly affects hand use and non-surgical options are insufficient.
Dupuytren’s contracture can thicken the fascia in the palm and draw fingers toward the hand. Fasciectomy removes affected tissue to improve extension and hand function; it does not cure the underlying condition.
What to expect
Follow the surgeon’s fasting and medicine instructions and discuss smoking cessation. The planned extent of surgery and any need for a skin graft will be explained.
The surgeon separates and removes diseased fascia while protecting nearby nerves and tendons. Some operations require a skin graft. Anesthesia depends on the technique and extent.
Pain, swelling, stiffness or temporary numbness can occur. Wound care, hand elevation, exercises, therapy and a splint may be prescribed. Time away from work depends on your job and operation.
Risks
Risks include infection, bleeding, scarring, altered sensation and nerve or blood-vessel damage. The contracture can recur. Promptly report severe pain, inability to move the fingers or signs of infection.
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