This patient had two previous open surgeries by a top local hand surgeon.  With residiual contracture of 65 degrees after two surgeries, the patient was told  that nothing more could be done. 

NA after previous open surgery has higher complications and poorer results, but this before and immediate after photo shows a very good immediate result.  If recurrence is rapid due to scar tissue from the previous open surgeries, then a repeat NA with skin grafting would be the next option.