Treatment: Dermofasciectomy
A dermofasciectomy is a frequently performed procedure for individuals who have experienced or are at risk of experiencing a relapse of Dupuytren’s. This technique bears similarities to a limited fasciectomy. During the operation, the surgeon eliminates the affected cords and fascia, as well as the skin that covers them. The resulting gap in the skin is then closed using a skin graft. While the likelihood of a recurrence of Dupuytren’s contracture decreases with this approach, it is important to note that skin grafting can introduce other complications.
Treatment: Segmental Fasciectomy
Segmental fasciectomy is a less invasive surgical option for treating a condition known as Dupuytren’s contracture. Instead of removing the entire affected fascia, only portions of it are removed during this surgery. Regional anesthesia is used, and the surgeon makes small, curved incisions to access the affected area. The surgeon carefully removes small amounts of the fascia until the finger can extend comfortably. In some cases, a layer of cellulose may be placed between the remaining parts of the cord. After the surgery, patients are encouraged to start moving their hands as soon as one day later. They are also required to wear extension splints for a few weeks, except during physical therapy sessions.