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· DOS Abstracts
Hematoma Following Fasciectomy for Dupuytrens
Disease
Rasmus Wejnold Jørgensen, Lars Solgård, Jens-Christian Vedel, Claus Hjorth Jen-
sen
Hand Clinic, Department of Orthopedics, Herlev-Gentofte University Hospital
of Copenhagen
Background:
Complications following fasciectomy for Dupuytren’s Disease
(DD) include digital nerve injury, wound healing complications, necrosis, hema-
toma formation and infections.
Purpose / Aim of Study:
The purpose of this study was to evaluate the num-
ber of postoperative complications, and hematomas in particular following fas-
ciectomy for DD.
Materials and Methods:
362 patient charts were retrospectively reviewed.
Postoperative events were recorded. Student T-test was used for numerical
values. Chi-Square and Fisher’s Exact test was used for binomial outcomes.
P<0.05 was considered statistically significant.
Findings / Results:
No patients had ongoing treatment at the time of follow
up (1-3 y). The mean age at follow-up was 67.6 years (SD 9.1, range 34- 95
y). There were 43 wound defects (11.9 %), 27 hematomas (7.5 %), 14 recur-
rences (3.9 %) and 11 infections (3 %) postoperatively. Those with postopera-
tive hematoma had a mean of 9.75 (SD 4.2) outpatient visits postoperatively,
those without had 3.71 (SD 2.8), P<0.0001. Infections occurred in 2.3 % of
patients without postoperative hematoma and in 16.7 % of patients with post-
operative hematoma, P=0.0065. There were no differences in wound defects
or recurrence rates when comparing patients with postoperative hematomas
to those without, P>0.05. The use of anticoagulants, the use of tobacco or
whether the patients were operated on by junior doctors under supervision did
not vary on any parameters, P>0.05. Operating on three or more fingers in one
setting compared to one or two fingers resulted in more postoperative outpa-
tient visits (P=0.007), wound defects (P=0.049), and hematomas (P=0.012).
Conclusions:
Operating on three or more fingers leads to more complications
and should be avoided when possible. A postoperative hematoma results in sig-
nificantly more postoperative outpatient visits and more infections.
No conflicts of interest reported
164.