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COPYRIGHT INFORMATION Copyright ©2018 EIDO Systems International Limited. The operation and treatment information in this document is published under license by Healthdirect Australia from EIDO Healthcare Australia and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information. IMPORTANT INFORMATION This surgical fact sheet is for general information about this procedure only. It is not intended to be used as medical advice or to replace advice that your relevant healthcare professional would give you. If you have a particular medical problem, please consult a healthcare professional. If your injury or illness is critical or life threatening, call triple zero (000). To speak to a registered nurse, call healthdirect on 1800 022 222. Surgical procedure Dupuytren's Fasciectomy healthdirect.gov.au 1800 022 222 Free Australian health advice you can count on eidohealthcare.com.au Document code: OS06lite Expires: end of December 2019 Notes and questions to bring to your doctor For more help with what to ask your doctor, visit healthdirect.gov.au/question-builder

Dupuytren's Fasciectomy - Healthdirectis known as Dupuytren s contracture (see figure 1). What are the benefits of surgery? You should be able to make better use of your hand and straighten

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COPYRIGHT INFORMATION Copyright ©2018 EIDO Systems International Limited. The operation and treatment information in this document is published under license by Healthdirect Australia from EIDO Healthcare Australia and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information.

IMPORTANT INFORMATION

This surgical fact sheet is for general information about this procedure only. It is not intended to be used as medical advice or to replace advice that your relevant healthcare professional would give you. If you have a particular medical problem, please consult a healthcare professional.

If your injury or illness is critical or life threatening, call triple zero (000). To speak to a registered nurse, call healthdirect on 1800 022 222.

Surgical procedure

Dupuytren's Fasciectomy

healthdirect.gov.au 1800 022 222 Free Australian health advice you can count on

eidohealthcare.com.au

Document code: OS06lite Expires: end of December 2019

Notes and questions to bring to your doctor

For more help with what to ask your doctor, visit healthdirect.gov.au/question-builder

OS06lite Page 1 of 1

This document will give you information about a Dupuytren's fasciectomy. If you have any questions, you should ask your GP or other relevant health professional.

What is Dupuytren�s disease?Dupuytren�s disease is a condition where scar-like tissue forms just beneath the skin of your fingers and the palm of your hand. Over time, this fibrous tissue can contract and force one or more fingers to curl up into the palm. This is known as Dupuytren�s contracture (see figure 1).

What are the benefits of surgery?You should be able to make better use of your hand and straighten the affected fingers more.

Are there any alternatives to a Dupuytren's fasciectomy?Your surgeon may be able to perform a needle aponeurotomy. However, there is a higher risk of the contracture coming back.Botox or collagenase can be injected into the bands of tissue but this is a new treatment and it is unclear how effective it is.The most effective treatment is surgery.

What does the operation involve?Various anaesthetic techniques are possible. The surgery can range from simply cutting a fibrous band in the palm of your hand to removing all of the affected skin and replacing it with skin grafts.

What complications can happen?

1 General complications� Pain

� Bleeding� Infection of the surgical site (wound)� Scarring

2 Specific complications� Injury to an artery in your finger� Incomplete correction of the Dupuytren�s

contracture� Return of Dupuytren's disease� Stiffness of your finger joints� Numbness� Wound-healing problems� Severe pain, stiffness and loss of use of your

hand (complex regional pain syndrome)

How soon will I recover?You should be able to go home the same day.Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.It can take some time for your hand to settle.

SummaryA Dupuytren�s fasciectomy should straighten your fingers and give you a worthwhile improvement in the function of your hand.

AcknowledgementsAuthor: Prof Tim Davis ChM FRCS (Tr. & Orth.)Illustrations: Medical Illustration Copyright © Nucleus Medical Art. All rights reserved. www.nucleusinc.com

This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

Figure 1Dupuytren's contracture

OS06lite Page 1 of 1Copyright © 2018Expires end of December 2019