Intraoperative and early postoperative complications in the treatment of patients with Dupuytren's contracture. Literature review

Introduction. There are many methods of surgical treatment of Dupuytren's contracture with proven effectiveness: enzyme aponeurotomy, needle aponeurotomy, open subtotal aponeurectomy, etc. However, all of them are not without complications associated with the peculiarities of the surgical technique for performing the above-mentioned interventions. In this regard, the process of justifying the choice of a particular surgical tactic in each specific case should take into account the existing risks. Objective. The purpose of the study is to analyze the literature on complications in the surgical treatment of patients with Dupuytren's contracture. Materials and methods. A literature search was conducted in the PubMed, MedLine and eLibrary databases mainly for the period from 2013 to 2022. For completeness of the information, earlier primary sources were also used. Results and discussion. In most cases, the following types of complications were identified: relapse, complete or partial damage to the digital nerves, damage to the digital arteries, damage to the flexor tendons of the fingers, prolonged wound healing, necrosis of skin flaps, postoperative hematoma, infectious complications, ischemic disorders of the distal parts of the hand and fingers. Conclusions. The least studied complication according to the analysis of the literature available to us is acute dynamic ischemia of the distal parts of the hand, which occurs with a single-stage intraoperative extension of the fingers of the hand, which have been in a position of flexion contracture for a long time.