Summary Overview of Early Postoperative Complications

 

compiled by Dr. Keith Denkler, Larkspur, CA, Aug 2006

see also http://plasticsurgerysf.com/customhtml1/

 

Percent after Surgery (limited fasciectomy)

 

Reference

Num­ber

Nerve

 

Infec­tion

 

Hematoma

 

Sympathetic Dystrophy

 

Coert [7]

2006

558

7.7

43

3.6

20

?

0

4.5

25

Rijssen[8] 2006

78

1.2

1

1.2

1

1.2

1

0

0

Denkler [9]

2005

102

2.9

3

7

7

1

1

0

0

Bulstrode [10]

2005

253

2.0

5

9.5

24

2.0 McCash

5

2.4

6

Leclercq [11]

2003

245

2.0

5

?

0

0.4

1

0

0

Leclercq [12] 2000

183

2.2

4

0.5

1

1

2

2.7

5

Foucher [13]

1995

54

1.9

1

?

0

0

0

9.3

5

Geldmacher[14]

1994

2160

2.82

61

2.68

58

1.16

25

2.18

47

Foucher 1992

140

2.9

4

?

0

0.7

1

7.1

10

Sennwald [15]

1990

98

8.2

8

1

1

3

3

19.4

19

McFarlane [16, 17] 1990

1339

1.5

20

1.3

17

2.2

29

4.2

56

Hout [18] 1988

326

5.2

17

3.4

11

5.8

19

1.8

6

Allieu and Tessier 1986

77

36

28

 

0

 

0

11.7 %

Pre RSD

18.1 %

9

Rodrigo 1976

230

0.4

1

1.3

3

3.9

9

10

23

Tubiana [19] 1967

195

7.7

15

2.6

5

15.9

31

?

0

 

 

 

 

 

 

 

 

 

 

Total

6,038

3.6%

216

2.5%

148

2.1%

127

3.5 %

211

 

Other significant complications:

 

            Digital gangrene 0.1% [17]

            Myocardial infarction, left ventricular failure, urinary retention [10]

            Arterial injury, gangrene, and amputation [21]

            Emergency revascularization [22, 23]

Secondary amputation 1.30% as a result of malperfusion from divided arteries [14]

            Tendon injury 0.23% [14]

            Inclusion cyst 1.3% [24]

Scar sequelae 1.2% [10]

           

Literature

 

1.         Binnie, J.F., A treatise on regional surgery. Vol. 3. 1917, Philadelphia,: P. Blakiston's son & co. p.315.

2.         Kelly, A.P., Jr. and R.H. Clifford, Subcutaneous fasciotomy in the treatment of Dupuytren's contracture. Plast Reconstr Surg, 1959. 24: p. 505-10.

3.         Howard, L.D., Jr., Dupuytren's contracture: a guide for management. Clin Orthop, 1959. 15: p. 118-26.

4.         Green, D.P., Operative hand surgery. 2nd ed. 1988, New York: Churchill Livingstone. 1-2458.

5.         Berger, A., Dupuytren's disease : pathobiochemistry and clinical management. 1994, Berlin ; New York: Springer-Verlag. p. 741.

6.         Bryan, A.S. and M.S. Ghorbal, The long-term results of closed palmar fasciotomy in the management of Dupuytren's contracture. J Hand Surg [Br], 1988. 13(3): p. 254-6.

7.         Coert, J.H., J.P. Nerin, and M.F. Meek, Results of partial fasciectomy for dupuytren disease in 261 consecutive patients. Ann Plast Surg, 2006. 57(1): p. 13-7.

8.         van Rijssen, A.L., et al., A comparison of the direct outcomes of percutaneous needle fasciotomy and limited fasciectomy for Dupuytren's disease: a 6-week follow-up study. J Hand Surg [Am], 2006. 31(5): p. 717-25.

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33.       Tonkin, M.A. and W.P. Lennon, Dermofasciectomy and proximal interphalangeal joint replacement in Dupuytren's disease. J Hand Surg [Br], 1985. 10(3): p. 351-2.

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36.       Ketchum, L.D. and F.P. Hixson, Dermofasciectomy and full-thickness grafts in the treatment of Dupuytren's contracture. J Hand Surg [Am], 1987. 12(5 Pt 1): p. 659-64.

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