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In association with The Alexandra Hospital

Spire Healthcare

Spire Regency Hospital
Spire Manchester Hospital




Surgery for Dupuytren's Disease

What is involved in a fasciectomy?
 
All jewellery, nail varnish and false nails must be removed from the hand, which is to be operated upon.
 
1. Fasciectomy this entails surgical excision of the disease from the palm and the affected digits. It is usually indicated when the finger joints are bent over 30 to 40 degrees.
 
2. Skin grafting - this may be required in more severe cases, that is, those that have had previous surgery or have extensive skin affected. A graft is usually taken from the forearm, leaving a small scar about 2-4 cm in length.
 
For how long will I be unable to use my hand after surgery?
 
For the first week only very limited use is possible. For the following week some use is possible but the wounds will require a dressing for 1-2 weeks after surgery.
 
After surgical excision and skin grafting you may be unable to use your hand for up to four weeks. During this period you should not drive or do any manual activity that is likely to cause pressure or friction on the wounds.
 
Will I need any other treatment?
 
Following surgical excision you will require exercises from a hand therapist and splinting for about 6 months. You will require review until the finger(s) fully recover. You will see physiotherapy and occupational therapy usually weekly at first, possibly for 2-3 months. You will also need a night splint for 6 months.


The Manchester Orthopaedic Group has three hand and wrist surgeons. Steve Royle , Jochen Fischer and Mohammed Waseem are established consultants. They are able to offer a range of treatments for various conditions from carpal tunnel syndrome to wrist arthritis.

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