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On Friday, November 25, OrthoVirginia will be closed but our Blacksburg office and most Ortho On Call locations will be open 9 a.m. - 3 p.m. for urgent orthopedic care.

Limited palmar fasciectomy

Limited palmar fasciectomy is a surgical procedure performed to treat fingers that are flexed from Dupuytren's contracture. The surgeon makes an incision on the palm and the affected fingers and removes the thickened tissue that causes the fingers to curl inwards. In some cases, the skin has to be rearranged to close the skin properly.

Anatomy

Dupuytren’s contracture affects the palmar fascia, a reinforcing mesh that lies just beneath the skin of the palm. Dupuytren’s causes this fascia to thicken and shrink, which pulls the fingers down into a bent position. Eventually, cords form that feel like strings under the skin

When is surgery recommended?

Dupuytren’s contracture usually progresses slowly and may not become troublesome for years.

In some cases, corticosteroid injections can help relieve pain and prevent progression of the disease.

If the condition worsens, pain intensifies or hand function declines,surgery may provide relief.

What is the recovery time?

Limited palmar fasciectomy is an outpatient procedure and patients go home the same day. Rehabilitation with a Certified Hand Therapist is recommended to strengthen the hand and fingers and restore range of motion. Specific recovery time varies depending on the severity of your condition and your overall health.