Dupuytren’s surgery can help straighten fingers and improve hand function, affected by Dupuytren’s contracture.

Dupuytren's contracture surgery divides or removes the thickened tissue in your palm and digits with the aim to treat Dupuytren’s disease.

The operation can be performed using different methods depending on your needs. Your hand surgeon will discuss your treatment options with you.

Surgical options include:

Open or needle fasciotomy – usually an outpatient procedure performed under local anaesthetic. A sharp blade or a very fine needle is inserted into the fibrous bands of your palm or fingers to divide the thickened connective tissue and release the tightness in your hand that is causing the contracture. The recurrence rate for needle fasciotomy is high.

Dupuytren’s fasciectomy – usually performed under general anaesthetic as an outpatient procedure. An incision is made in your hand and the affected connective tissue is removed. A skin graft may be required to seal your wound. Fasciectomy is used to treat more severe cases. It is more effective than fasciotomy in the long term but carries more risks.

The main types of fasciectomy include: segmental (short segments of the cord are removed through one or more small incisions), regional (entire cord is removed through a single longer incision) and, dermo fasciectomy (cord and overlying skin is removed requiring a skin graft).

When Dupuytren's contracture becomes moderate or severe, Dupuytren’s surgery may be recommended to reduce the contracture and improve motion in the affected fingers. Dupuytren’s surgery is likely to be helpful if it has become impossible to put your hand flat on a table.

If you decide to pay for your treatment, Ramsay offer an all-inclusive Total Care package, where a single one-off payment at a pre-agreed price, delivering direct access to all the treatment you need for complete reassurance. You can also spread the cost of your treatment with finance options available.

A dupuytren's fasciectomy surgery may be covered by your medical insurance policy. We advise you to check directly with your insurance provider and get written confirmation before commencing treatment.

Typically, you’ll go home the same day as your Dupuytren’s surgery, although sometimes a one-night stay is recommended.

To recover well and to minimise scar tissue you may need specialised hand therapy to help improve the function and range of movement of your hand such as physiotherapy including massage, manipulation and exercise. You may also be required to wear a hand splint initially.

It can take some time to recover the function of your hand after Dupuytren’s surgery. If you have had more extensive surgery, such as a fasciectomy rather than a fasciotomy, your recovery will be longer.

You can drive again once you feel confident to control the car safely.

There is a chance the condition will return in the same place as before or somewhere else. Surgery doesn't stop the process that caused the contracture to develop in the first place.

Dupuytren’s fasciectomy is hand surgery that aims to straighten permanently curled fingers and improve hand function. It is performed to treat advanced Dupuytren’s disease, known as Dupuytren’s contracture.

Ramsay Health Care works in partnership with hand surgeons who have expertise and a wealth of experience in treating Dupuytren’s disease. At each of our hospitals the surgeons are supported by a team of trained physiotherapists who can offer advice and a variety of treatment options along your care pathway. So, you can rest assured you’ll receive the best of care at your local Ramsay hospital.

North Downs Hospital Specialists

Mr Oliver Harley

Mr Oliver Harley is a Consultant Plastic, Cosmetic & Reconstructive, Hand and Wrist Surgeon in Surrey
Read more
Mr Anestis Iossifidis

Mr Anestis Iossifidis is a Consultant Orthopaedic Surgeon in Surrey who specialises in shoulder surgery.
Read more
Mrs Catherine Manley

Mrs Catherine Manley is a Hand Therapist at North Downs Hospital in Caterham, Surrey
Read more
Mr Arvind Mohan

Mr Arvind Mohan is a Consultant Orthopaedic Surgeon in Caterham, Surrey who specialises in upper limb surgery.
Read more
Mr Jae Rhee

Mr Jae Rhee is a Consultant Orthopaedic Surgeon in Surrey, who specialises in shoulder and upper limb disorders.
Read more
Mr Ali Shafighian

Mr Ali Shfighian is a Consultant Orthoapedic Surgeon in Berkshire, Oxfordshire and Surrey who specialises in Hand and Wrist surgery
Read more
Mr T C Teo

Mr TC Teo is a Consultant Plastic, Cosmetic & Reconstructive, Hand and Wrist Surgeon in Surrey.
Read more

Latest from North Downs Hospital

Ramsay Health Care UK Hospitals Awarded Gold NJR Providers

Ramsay Health Care UK are celebrating after being named as a Gold National Joint Registry (NJR) Quality Data Provider after successfully completing a national data quality audit programme for 25 of their hospitals offering orthopaedic procedures.

Find out more

National Joint Registry Award

North Downs Hospital is celebrating after being named as a National Joint Registry (NJR) Quality Data Provider after successfully completing a national programme of local data audits.

Find out more

National Joint Registry Award

North Downs Hospital has again been recognised by patients as one of the best private hospitals in the UK, winning the ‘Patients’ Choice’ award from Private Healthcare UK.

Find out more

The information, including but not limited to, text, graphics, images and other material, contained on this website is for educational purposes only and not intended to be a substitute for medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment.

No warranty or guarantee is made that the information contained on this website is complete or accurate in every respect. The testimonials, statements, and opinions presented on our website are applicable to the individuals depicted. Results will vary and may not be representative of the experience of others. Prior patient results are only provided as examples of what may be achievable. Individual results will vary and no guarantee is stated or implied by any photo use or any statement on this website.

Ramsay is a trusted provider of plastic or reconstructive surgery treatments as a part of our wrap-around holistic patient care. Our personal, friendly and professional team are here to support you throughout to ensure the best possible care. All procedures we perform are medically justified, and we do not offer treatments that are purely aesthetic / to change your appearance.

Ramsay Health Care UK is not currently recruiting for any roles based outside of England. If you are interested in applying for a role with Ramsay Health Care UK, please note that all available positions are advertised exclusively on our official website: https://www.ramsayhealth.co.uk/careers. Be cautious of individuals or organisations that approach you directly for remotely-based roles. Always verify the authenticity of the job offer and be careful with whom you share your personal information. For more information and advice on employment fraud, please visit: https://www.ramsayhealth.co.uk/careers/recruitment-fraud

Specialties

Treatments

Tests & Scans

Your Care

Clinical Information

Funding Treatment

Dupuytrens Fasciectomy