Percutaneous needle fasciotomy is generally a very safe procedure, however some complications are
described. The commonest complication of needle fasciotomy is skin tearing, if the skin is tight then
it may split during the manipulation. However skin tears, even fairly large ones, will normally heal with
simple dressings in a fairly short (5 to 10 day) period of time. Other complications that have been
described include digital nerve injury, digital artery injury and tendon rupture, though fortunately these
are very rare.
Unlike open surgery needle fasciotomy does not remove the diseased tissue and therefore recurrence
rates are higher than for open surgery. Quoted recurrence rates of about 50% at five years are similar
to those achieved with collagenase but higher than for open surgery. However the recovery and risks of
complications are much lower with needle fasciotomy and the procedure can be repeated at a later date
if there is an appropriate cord.