Practice English Speaking&Listening with: What surgical treatment options are there for Dupuytren's contracture?

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.