Dupuytren's Contracture causes thick, scar-like tissue to form under the skin of the palms and fingers, pulling the fingers toward the palm and restricting motion. The condition usually develops in mid-life and has no known cause (though it has a tendency to run in families). Plastic surgery is the only treatment for Dupuytren's Contracture.
Surgery for Dupuytren's Contracture involves cutting and separating the bands of thickened tissue, freeing the tendons and allowing better finger movement. The operation demands great precision and skill, since the nerves that supply the hand and fingers are often tightly bound up in the abnormal tissue. In some cases, skin grafts are also needed to replace tightened, puckered skin.
The results of plastic surgery for Dupuytren's Contracture will depend on the severity of the condition, but surgery usually brings significant improvement in function, particularly after physical therapy. The procedure will leave a thin, fairly inconspicuous scar.