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

Abstract

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.