Emergency microsurgical revascularization for critical ischemia during surgery for Dupuytren's contracture: a case report

Injuries to the common digital or proper digital arteries during surgery for Dupuytren's contracture are relatively rare but may be underreported. Delay in recognition and inadequate management may result in prolonged ischemia or gangrene and eventually necessitate finger amputation. A patient...

Full description

Saved in:
Bibliographic Details
Published inThe Journal of hand surgery (American ed.) Vol. 26; no. 6; p. 1125
Main Authors Jones, N F, Huang, J I
Format Journal Article
LanguageEnglish
Published United States 01.11.2001
Subjects
Dupuytren Contracture - surgery
Fingers - blood supply
Fingers - surgery
Humans
Ischemia - etiology
Ischemia - surgery
Male
Microsurgery - methods
Middle Aged
Postoperative Complications - surgery
Online AccessGet more information

Cover

More Information
Summary:Injuries to the common digital or proper digital arteries during surgery for Dupuytren's contracture are relatively rare but may be underreported. Delay in recognition and inadequate management may result in prolonged ischemia or gangrene and eventually necessitate finger amputation. A patient who sustained inadvertent injury to several digital arteries during reoperation for recurrent Dupuytren's contracture of the ring and small fingers developed persistent critical ischemia of both fingers. He was transported emergently to a replantation center where the arterial injuries were immediately repaired by microsurgical techniques, resulting in successful salvage of both fingers.
ISSN:0363-5023
DOI:10.1053/jhsu.2001.28428