Nagay B
Handchir Mikrochir Plast Chir. 1985 May;17(3):143-4.
The incidence of Sudeck-like complications after surgery for Dupuytren's contracture is discussed. In a series of 209 operations for Dupuytren's contracture some complications were observed in 26 cases. In 12 patients these complications could not be precisely explained. In the author's opinion they may illustrate the creation of a nerve-irritating source within the operative field. In order to avoid these complications a two-stage operation was proposed, especially for severe contractures in elderly patients. A preliminary fasciotomy relieves most of symptoms of the disease and may also serve as a so-called tissue test for eventual more radical procedures. The observation of 42 patients with severe contractures so treated confirms the usefulness of the method.
本文讨论了Dupuytren挛缩症手术后类Sudeck并发症的发生率。在一系列209例Dupuytren挛缩症手术中，26例出现了一些并发症。12例患者的这些并发症无法确切解释。作者认为，它们可能表明手术区域内产生了神经刺激源。为避免这些并发症，提出了一种两阶段手术，尤其适用于老年患者的严重挛缩。初步的筋膜切开术可缓解该病的大部分症状，也可作为最终更彻底手术的所谓组织试验。对42例接受如此治疗的严重挛缩患者的观察证实了该方法的有效性。
