Certified Hand Therapist (CHT) Practice Exam 2025 – All-in-One Guide to Exam Success

The goal of a segmental open fasciectomy is primarily to perform segmental excision of a longitudinal cord. This procedure is often utilized in the management of conditions such as Dupuytren's contracture, where there is the presence of fascial thickening or bands that cause the fingers to flex into a contracted position. During this procedure, the surgeon selectively removes only the affected sections of the palmar fascia, preserving as much surrounding healthy tissue and function as possible.

This targeted approach is crucial because it allows for decompression and restoration of normal finger movement without the need for a more extensive surgical intervention, which could lead to further complications and longer recovery times. By focusing on excising only the problematic cords, segmental open fasciectomy strikes a balance between effective treatment of the condition and the preservation of functionality in the affected digits.

This understanding reflects the nuanced and conservative strategy employed in hand therapy and reconstruction, highlighting the importance of tailored interventions in achieving optimal patient outcomes.