Mr Jeremy Read
Hand & Wrist Surgeon
Private Secretary 07565 446713
NHS Secretary 01923 217155
No treatment unless function is affected simple observation is all that is required.
Collagenase injection injection of an enzyme directly into the thickened cord which weakens it so that it can be broken at a further appointment 24 to 48 hours later.
Percutaneous needle fasciotomy (PNF) an outpatient procedure performed under local anaesthetic where the bevel of a needle is used to cut through the thickened cord achieving correction of the contracture.
Open fasciectomy a surgical procedure under-taken in the operating theatre to remove as much of the thickened fascia as possible.
Dermofasciectomy a surgical procedure where the thickened fascia and overlying skin is removed and replaced by a skin graft.
Amputation when the deformity is so severe or the expected recovery is very poor it may be necessary to remove an affected digit rather than attempt correction.
Treatment Options for Dupuytren's Contracture