Fasciectomy for treatment of Dupuytren's disease and early complications

Total vs. partial aponeurectomy for Dupuytren’s contracture — A literature review

“…BRENNER [12] reported a rate of 2.8%, whilst HÖGEMANN et al [11] found a nerve lesion in 4.6% of patients. Nerval and arterial lesions were found in 9.7% in SENNWALD's study [13].…”

“…Since total aponeurectomy is not the method of choice for many surgeons, studies on this method tended to involve less patients than those for partial aponeurectomy, with BRENNER [12] (n=126) and SENNWALD [13] (n=103) reporting on the largest series. Other studies involved patient numbers of up to 91 [10,11,18,19].…”

“…Other studies involved patient numbers of up to 91 [10,11,18,19]. The mean period between operation and review varied between 3-6 months and 47 months [11,13,18,19].…”

“…Although a total aponeurectomy, where all palmar tissue is removed, might reduce the risk of recurrent disease due to the widespread removal of aponeurosis, it is performed less frequently due to the potential complications of this technique. Haematomas and injuries to the neurovascular bundle are encountered most frequently [10][11][12][13].…”

Simultaneous reconstruction of a palmar skin defect and the digital artery with an arterialized venous flap after correction of camptodactyly with severe flexion deformity

“…When long-lasting severe flexion deformities of digits caused by Dupuytren's contracture or traumatic injuries are corrected primarily by surgical intervention, surgeons sometimes encounter poor perfusion of the fingers because of stretching of the digital arteries that were contracted [4,9,19,24]. Jones and Huang [9] proposed a logical treatment algorithm for dealing with poor perfusion of digits after primary release of flexion contractures, including Dupuytren's contracture.…”