Dupuytren’s contracture of the palm and hand, is a benign fibroproliferative disorder of the fascial tissue. It may also occur as Dupuytren’s diasthesis. Exact etiology is not known and association with diaseases like diabetes mellitus, hypertension, hereditary autosomal dominance has been implicated. Small finger is the most commonly affected finger followed by ring finger and others. There is no treatment for the disease but a number of treaments are available for contracture correction like oberservation, splinting, injecting pharmacological drugs, radial fasciectomy, segmental fasciectomy, limited fasciectomy. In the study, we evaluate the effectiveness of limited fasciectomy for contracture correction.

Method: Limited fasciectomy was done under magnification under tourniquet control to attain no extension defecit. Splinting was done in post operatively for 3 months. Assessment of the cases was at the beginning of treatment and at 2 years follow up using Brief Michigan Hand Score(bMHS).

Results : Small finger is the most commonly affected finger followed by ring finger. Bilateral hand involvement was seen in 21.7% of cases. A good hand score was seen at the end of 2 years despite extension lag occurring in few cases(p<0.00). Delayed wound healing was the commonest complication. No recurrence was seen at the end of 2 years.

Conclusion: Limited fasciectomy is a good treatment option for dupuytrens contracture, though, there is no treatment for the disease.

Keywords: Dupuytren’s contracture, dupuytren’s disease, Heuston test, limited fasciectomy, table top test