Management of complications of Dupuytren contracture.
This evidence-based article discusses the current management options of Dupuytren disease and strategies to avoid and manage any potential complications. Treatment options include fasciectomy, needle fasciotomy/aponeurotomy, and collagenase injection. Complications include digital nerve and artery injury, flexor tendon injury, skin fissures and wound healing complications, hematoma, infection, flare reaction/complex regional pain syndrome, and recurrence. Complication rates, prevention, and management differ with each treatment modality. A detailed understanding of each of these options allows hand surgeons to select the most appropriate treatment for each patient.
Division of Plastic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, ST 10, Boston, MA 02215, USA.
Kevin
K
Cheung
Department of Orthopedics, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, ST 10, Boston, MA 02215, USA.
Kempland C
KC
Walley
Department of Orthopedics, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, ST 10, Boston, MA 02215, USA. Electronic address: trozenta@bidmc.harvard.edu.
Tamara D
TD
Rozental
D004387:Dupuytren Contracture / Q000150:complications* / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy*
Collagenase injection; Complications; Dupuytren disease; Fasciectomy; Management; Needle aponeurotomy; Recurrence