Surgery is used at a relatively late stage of the disease, where there is already contracture (bending) of the fingers, usually more than twenty to thirty degrees.
The surgical procedure used to correct Dupuytren’s Contracture is called fasciectomy. The primary role of this procedure is to increase function where there is already contracture of the fingers. It involves removing the underlying connective tissue (cords) that have thickened causing the fingers to contract towards the palm of the hand.
Needle Aponeurotomy uses a needle to break the thickened connective tissue up it can then fully broken with the assistance of mechanical force.
Collagenase is an enzyme that is injected directly into the thickened connective tissue in the later stages of Dupuytren’s contracture. The next day the cords are broken with mechanical force.