When Dupuytren's causes finger contractures to form, then surgery is usually recommended. Contractures are easily noticeable since this tightening of the tissues cause the fingers to bend and remain in a fixed position. Surgical decisions are made based on the individual joint that is held in the contracted position. When a fist is made, there are three joints that are apparent in each finger. Any contracture of the middle joint is generally not tolerable and should be a candidate for surgery.
Commonly prescribed surgical procedures are called a fasciotomy or fasciectomy. This procedure removes segments of the diseased fascia, which helps increase the mobility of the fingers. It is important to consider early surgery with the onset of any contractures as significant delay may ultimately require a larger procedure.
Dupuytren's contracture surgery is an outpatient procedure. A splint is applied after surgery, and sutures are removed about 7 - 10 days after the procedure. Almost always, physical therapy and splinting are necessary to achieve functional return.