This 20-year systematic review (1988–2008) collates intraoperative and postoperative complication rates for surgical fasciectomy in Dupuytren's disease across 41 studies, asking: how common and how serious are these complications, and does recurrent disease change the risk profile?
When consenting a patient for fasciectomy — especially reoperation for recurrent disease. Warn them explicitly: neurovascular injury risk jumps roughly 10-fold with recurrent disease, wound complications affect nearly 1 in 4 primary cases, and CRPS occurs in ~5–6%.
If the PIP contracture exceeds 60°, counsel the patient that their complication risk is higher than average.
This 20-year systematic review (1988–2008) collates intraoperative and postoperative complication rates for surgical fasciectomy in Dupuytren's disease across 41 studies, asking: how common and how serious are these complications, and does recurrent disease change the risk profile?
When consenting a patient for fasciectomy — especially reoperation for recurrent disease. Warn them explicitly: neurovascular injury risk jumps roughly 10-fold with recurrent disease, wound complications affect nearly 1 in 4 primary cases, and CRPS occurs in ~5–6%.
If the PIP contracture exceeds 60°, counsel the patient that their complication risk is higher than average.