Message from Dr. Keith Denkler:
"Here is the published Dupuytren's surgery complications paper I told you was in progress.
It is free and available to all!
This was a big project that took time away from other papers and presentations!
Keith"


http://www.eplasty.com/index.php?option=...&Itemid=116

Flora/Flojo says: Above is the message from Dr. Denkler and the link to the URL for the paper. Below, the Objective of the paper is quoted. Go the the URL for the complete paper.
Flora

Surgical Complications Associated With Fasciectomy for Dupuytren's Disease: A 20-Year Review of the English Literature
Keith Denkler, MD

"UCSF Divison of Plastic Surgery, 275 Magnolia Ave, Larkspur, CA 94939. Dr Denkler is in private practice also.

Correspondence: kdenklermd@hotmail.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Objective: Excisional surgery is the mainstay of treatment of Dupuytren's disease. Although outcomes are generally good, complications are common. The objective of this study was to evaluate intraoperative and postoperative complications associated with fasciectomy for Dupuytren's disease. Methods: A literature search was conducted to identify published, original research that reported surgical complications associated with fasciectomy from 1988 to 2008. Search results were manually evaluated for relevance. Complication rates according to types of disease (primary or recurrent disease) and according to time (intraoperative vs postoperative) and type were collated. Results: A total of 143 articles were identified; 41 met inclusion criteria, and of these, 28 reported overall surgical complication rates ranging from 3.6% to 39.1%. Major complications occurred in 15.7%, including digital nerve injury 3.4%, digital artery injury 2%, infection 2.4%, hematoma 2.1%, and complex regional pain syndrome 5.5%. Other common, more minor injuries included flare reaction in 9.9%, wound healing complications in 22.9%, and a range of other complications. In the few (n = 3) studies in which primary and recurrent diseases were directly compared, digital nerve injuries and digital artery injuries were approximately 10 times more common in patients with recurrent disease (~20%) than those with primary disease (~2%), though the numbers are too small for statistical significance. Conclusions: A review of published reports by surgeons shows that surgical fasciectomy for Dupuytren's disease has a high number of complications. Surgeons should be mindful of the potential for intraoperative and postoperative complications and counsel their patients accordingly."

not registered

Thanks for posting this, FLOJO!