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Hand surgery educationRegion: Hand GeneralSoft Tissue Release

Dupuytren's fasciectomy

Surgical removal of the diseased cords of fascia in the palm to release a finger that has been pulled toward the palm by Dupuytren's disease.

Page reviewed — follow your clinical team for decisions.

Why it's done

  • Contractures that limit straightening, especially MCP > 30° or any PIP contracture
  • Functional problems — washing the face, putting hands in pockets, shaking hands

Related condition overview

Our learn library has a separate page on Dupuytren's disease — helpful context alongside this surgery overview (diagnosis, day-to-day coping, and when to seek care).

Open Dupuytren's disease

Typical recovery phases

General patterns only — your protocol wins.

These phases describe common themes many teams use after this type of procedure. Your surgeon and hand therapist set the exact timeline, motion limits, and return-to-work or driving rules.

  1. Phase 1Weeks 0–2

    Wound care; gentle motion to maintain the gain.

    Elevate the hand and start motion exactly as instructed.

  2. Phase 2Weeks 2–6

    Night-time extension splinting and active motion.

    Wear the splint at night; do daily motion as prescribed.

  3. Phase 3Months 2–6

    Maintain motion; recurrence surveillance.

    Continue splinting if advised; report any new cords early.

Red flags — call your team

Contact your surgical team urgently for new or worsening symptoms like these. If you cannot reach them and the problem feels life-threatening, use local emergency services.

  • Spreading redness, drainage, or fever
  • New numbness or loss of motion in the operated finger
  • Wound separation

Splints you may wear

Names and designs vary by hospital. These splint education pages match common post-operative supports for this procedure — confirm what you were given before changing anything.

Related motions in the movement library

Canonical hand-therapy movements linked to this condition for education — not a substitute for your own program or clearance.

Sources

Independent references we used to shape this overview. They do not replace your clinician's instructions or your local emergency pathways.