Open surgery ie regional fasciectomy for Dupuytrens disease
Open surgery does have a place in the treatment ofDupuytren's disease, especially in the case of severe contractures or recurrence. Recurrence can occur after open surgery or a needle aponeurotomy procedure. Open surgery requires general or regional anesthesia in an operating room environment. Open surgery has the downside of increased bleeding, pain, anesthesia side effects and complications, tendon/nerve/artery injury, post-operative splinting and therapy, cost, and complexity of care. I have been performing open surgery and revisions for appropriate patients, but you must live locally in my area so that care can be properly coordinated. Open surgery is also appropriate for the patient that want the lowest possible recurrence rate, although no technique guarantees lack of recurrence.