What is fasciectomy surgery?
Fasciectomy (say “fash-ee-EK-tuh-mee”) is surgery to cut out a layer of tissue called the fascia (say “FASH-ee-uh”) that lies deep under the skin. In Dupuytren’s (say “duh-pwee-TRAHNZ”) contracture, the fascia of the palm of the hand becomes thick and tight.
How long does a fasciectomy surgery take?
The surgery usually takes 30 minutes to 2 hours. You will have a thick bandage on your hand, wrist, and fingers. You will not be able to move your finger.
How long is recovery after Dupuytren’s contracture surgery?
It can take two months or more to fully return to your normal activities after surgery. Try to keep moving your fingers to relieve pain and stiffness. Massaging your fingers or applying heat can also help with movement and discomfort.
Is Dupuytren’s contracture surgery successful?
Surgery to treat Dupuytren’s typically involves removing the diseased cords that are causing the contracture in the finger. In many cases, this surgery successfully eliminates Dupuytren’s contracture. Results usually are long-lasting, and the rate of recurrence is low.
What is a palmar fasciectomy?
A palmar fasciectomy is a surgery to remove all or part of the palmar fascia. This is a thin sheet of connective tissue in your hand. It’s shaped like a triangle. It’s beneath the skin on your fingers and the palm of your hands. Your surgeon cleans the skin, makes an incision and exposes the palmar fascia.
What is the success rate of Dupuytren’s surgery?
Overall, surgery for Dupuytren’s disease in the NHS is effective and safe with low complication rates. Within 90 days of surgery: less than one in 100 (0.8%) patients experienced serious systemic complications. one in 100 (1.2%) of patients experienced serious local complications.
How long should I wear a splint at night after Dupuytren’s surgery?
The splint is recommended in order to maintain your fingers in a straight position at night time. The splint also aids scar lengthening during the healing process. It is recommended that the splint be worn at night for 6 months from the surgery in order to achieve the best results.
Are you put to sleep for Dupuytren’s surgery?
Digital and palmar fasciectomy for Dupuytren’s disease is a common procedure performed by plastic surgeons. Historically, surgery has been done in the main operating room under general anesthesia, using a tourniquet. Two main factors have made it difficult for surgeons to perform this surgery under local anesthesia.
How serious is a fasciotomy?
Fasciotomy for acute compartment syndrome has serious complications. Mortality rates are 11% to 15%, and serious morbidity is common, including amputation rates of 10% to 20% and diminished limb function in 27%.
When should Dupuytren’s be operated on?
Surgery for Dupuytren contracture generally should be performed on an affected metacarpophalangeal (MCP) joint if the contracture is 30° or greater. Such contractures most likely cause some debilitation for the patient.
Does Dupuytren’s come back after surgery?
Recovery can take several months. Most people can move their fingers better after Dupuytren’s contracture surgery, but the condition comes back in about one in five people who have the procedure.
How long before you can drive after Dupuytren’s surgery?
By 2 weeks post surgery you should be able to use your hand for most normal day to day tasks. You are able to drive as soon as pain allows and you are safe to control the vehicle. It is very important not to overuse your hand following surgery, as this may delay your healing.
When is surgery needed for Dupuytren’s contracture?
What happens if you don’t treat Dupuytren’s contracture?
But a more likely scenario if you don’t treat Dupuytren’s is that over time your hand will develop hard chord-like formations that pull on your ring or pinky fingers, pulling them into a stuck position. If this goes untreated, it can make simple tasks involving your hand very difficult.
Can a fasciectomy fix Dupuytren’s contracture?
People with Dupuytren’s disease may need a fasciectomy to treat severely bent fingers (Dupuytren’s contracture). An orthopaedic hand surgeon removes thick, tight fascia tissue in the palm of your hand. A fasciectomy allows you to straighten and move your fingers. Surgery isn’t a cure, but it can greatly improve your hand function.
What is the procedure for Dupuytren’s contracture?
The procedure. The usual operation for Dupuytren’s contracture is called palmar fasciectomy. It may be performed under general anaesthesia, which means you’ll be asleep throughout the procedure, but it can also be done under regional anaesthesia, which means you’ll be awake but your hand will be numb.
Why choose Michigan surgery specialists for Dupuytren’s disease?
The skilled hand surgeons at Michigan Surgery Specialists have treated many cases of Dupuytren’s disease. We can help diagnose your condition and give you a pathway to less pain and better function. Make an appointment with Michigan Surgery Specialists to learn more about your condition and how it can be treated.
What is the best treatment for Dupuytren’s disease?
Surgery has been the traditional and hence most common treatment of Dupuytren’s disease. Surgery is usually considered when fingers are sufficiently contracted to interfere with lifestyle or work.