Once the patient's developed a contracture of a severity that we should consider treating
it, then there are a number of options to try and get the finger to come out straight.
This ranges from cutting through the cord with a needle path through the skin what's
called a needle fasciotomy, it could be a minor procedure where just a small segment
of the diseased tissue is removed under a local anaesthetic. There's an injection treatment
called Xiapex where an enzyme is injected into the cord which breaks the fibrous bonds,
and then following the injection a manipulation is performed and this can be quite effective,
but where the Dupuytren's extends into the finger and what's called the proximal interphalangeal
joint is flexed, then an operation to excise the chord of Dupuytren's is the treatment
most likely to work. The mainstay of treatment is to excise the tissue and this is probably
the most reliable way of giving the patient a good correction for the longest period of time.