Surgical Information – Procedures

Limited Palmar Fasciectomy for Dupuytren's Contracture

Educational Videos

What is a limited palmar fasciectomy?

Limited palmar fasciectomy is a surgical procedure performed to treat fingers that are flexed from Dupuytren’s contracture, a thickening of the fibrous tissue layer underneath the skin of the palm and fingers. Dupuytren’s contracture causes nodules and rope-like cords to form in the tissue. As the nodules and cords grow bigger, the fingers may curlpermanently toward the palm.

In a limited palmar fasciectomy,the surgeon makes an incisionon the palm and the affected fingers and removes the thickened tissue. 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.