One of the complications of Fasciectomy is RSD (Reflex Sympathetic Dystrophy) also known as Complex Regional Pain Syndrome. Eaton felt that I had a touch of that isse from my 2003 Fasciectomy. As many of us may need OS at some point, I though this study would be of interest.

Almost all of us who have had OS for Dups went under general anesthesia, as that is the standard procedure. This study questions that approach and recommends an axillary block instead. Interesting.

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Anesth Analg. 2006 Feb;102(2):499-503.

The incidence of complex regional pain syndrome after fasciectomy for
Dupuytren's contracture: a prospective observational study of four
anesthetic techniques.

Reuben SS, Pristas R, Dixon D, Faruqi S, Madabhushi L, Wenner S.

Department of Anesthesiology, Baystate Medical Center , Springfield ,
Massachusetts 01199 , USA . scott.reuben@bhs.org

The development of complex regional pain syndrome (CRPS) is not an uncommon complication after Dupuytren's surgery. Despite increasing research interest, little is known regarding which patients are at increased risk for
developing CRPS and what is the optimal perioperative treatment strategy for preventing the occurrence of this disease after surgery. We prospectively evaluated the use of four anesthetic techniques (general anesthesia,
axillary block, and IV regional anesthesia [IVRA] with lidocaine with or without clonidine) for patients undergoing fasciectomy for Dupuytren's contracture. All patients were followed in the Pain Management Center at 1,
3, and 12 mo postoperatively by a blinded physician to evaluate the presence of CRPS. Significantly (P < 0.01) more patients developed postoperative CRPS in the group (n = 25; 24%) and the IVRA lidocaine group(n = 12; 25%) compared with either the axillary block group (n = 5; 5%) or
the IVRA lidocaine and clonidine group (n = 3; 6%). We conclude that axillary block or IVRA with clonidine offers a significant advantage for decreasing the incidence of CRPS compared with either IVRA with lidocaine alone or general anesthesia for patients undergoing Dupuytren's surgery.

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If I were facing another OS I'd definitely asks my CHS to look at this study.


http://www.anesthesia-analgesia.org/cgi/content/abstract/102/2/499?
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and&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT