The main aim of this treatment is to rupture or remove the Dupuytren’s bands. Various forms of treatment can be carried out in people with Dupuytren’s contracture of increasing severity. The more extensive forms of surgery carry progressively higher risks of complications, such as nerve damage, stiffness of the fingers, infection or scarring.
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Dupuytren's fasciectomy
Also known as: Orthopaedic, bone and joint services
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What is it for?
To rupture or remove the Dupuytren’s bands
Dupuytren’s fasciectomy consultation at The London Clinic
Needle fibrotomy, also called needle fasciotomy:
This is a simple treatment that can be used in mild or severe cases of Dupuytren’s contracture. A needle is used to release the fibrous bands that keep the fingers in a hooked position. The doctor then straightens your fingers (the local anaesthetic will stop you feeling any pain). This releases the remaining fibres so that you can flex and extend your finger normally. This does not require a stay in hospital so you can return to work the next day.
Open fasciotomy The surgeon makes an incision into the palm to get direct access to the thickened connective tissue. Small cuts and slits are made in the tissue to release it, and then the incision is closed. This is done under a local anaesthetic as a day case operation. Recovery takes longer than after a needle fasciotomy.
Partial or complete fasciectomy:
The objective of this operation is to remove the thickened and fibrous connective tissue from inside the palm. It is a more extensive form of surgery done when Dupuytren’s contracture is more severe, or has recurred after having a fasciotomy.
It is done under general anaesthetic. A partial fasciectomy involves removing only the fibrous connective tissue while a complete fasciectomy removes the healthy tissue around it too, so that there is less chance that symptoms will return.
Dermofasciectomy
A complete fasciectomy can be so extensive that the skin of the palm needs to be removed as well. The operation then becomes a dermofasciectomy, which involves grafting skin from another part of the body to replace that removed from the palm.
Injections with collagenase
Collagenase is an enzyme extracted from the bacteria clostridium histolyticum. It breaks down the excess connective tissue that forms in Dupuytren’s contracture.
You can have as many as 3 injections, each a month apart. This treatment is fairly new to the UK, having only been approved since 2011, and the long-term effects will not become clear for some time. RADIATION THERAPY
The National Institute of Clinical Excellence (NICE) has said that radiation therapy may be used in some patients with very mild Dupuytren’s contracture, but that there is not enough evidence to show that it can really be effective.
They do, however, agree to it being an option for people unable or unwilling to have surgical treatment.
Rehabilitation after treatment
Even the most successful treatment is not a quick fix. Some surgeons recommend splints to straighten the fingers after treatment and you are likely to need physiotherapy and to do exercises to increase the flexibility of your fingers for up to six months to get the best results.
Consultants
We offer Fixed Price Packages
Where possible, we’ll provide a fixed-price package for your hospital care. This covers your hospital stay, nursing, and use of our facilities, giving you a clear guide to what those costs will be.
- Pre-op assessment
- Hospital stay, nursing care and meals
- Tests, scans and physio during your stay
- Take-home medication (up to 5 days)
- Post-op follow-up appointments
- Standard equipment or prosthesis (if needed)
- Unplanned extended stay or ITU (if clinically required)
- Initial consultation and any tests done during it
- Consultant and anaesthetist fees (quoted separately)
- Physio or therapy before or after your stay
- Diagnostics before admission (unless agreed in your plan)
- Specialist medication beyond 5 days
- Ambulance transport or bespoke prosthetics
Your consultant’s fees are quoted separately and shared directly by their office after your consultation. These professional fees cover the time, expertise, and care provided by your consultant before, during, and after your treatment. See our full terms and conditions
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We’ve teamed up with Chrysalis to offer you funding options that allow you to spread the cost of your treatment.
If you choose to pay for your treatment at The London Clinic over 12 months, you can make use of a great 0% interest option and pay nothing extra. Or you can choose to pay over two to five years at 14.9% APR.
Trustees of the London Clinic Ltd trading as The London Clinic is an Appointed Representative of Chrysalis Finance Limited, which is authorised and regulated by the Financial Conduct Authority. The London Clinic is a credit broker, not a lender. The provider of a payment scheme which is not offered through or by Chrysalis Finance Limited may not be so authorised and regulated. Cancer treatments or transplants aren’t covered by finance packages. Finance options are only available for UK patients.