Dupuytren's contracture treatment

Referral Criteria

Treatment is not commissioned in cases where there is no contracture, and in patients with mild (less than 20°) contractures, or one which is not progressing and does not impair function.

Refer to Hand Clinic

Surgical intervention (needle fasciotomy, fasciectomy and dermofasciectomy) is commissioned for:

• a) Finger contractures causing loss of finger extension of 30° or more at the metacarpophalangeal joint or 20° at the proximal interphalangeal joint

or

• b) Severe thumb contractures which interfere with function

(For further information see link to the NHS Devon Dupuytren's Contracture Treatment commissioning policy)

Exceptional /Individual Funding Requests (IFR)

Patient Information

Individual Funding Request (IFR) Patient information leaflet

Publication date: March 2017

Updated March 2020