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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2018, Cilt 32, Sayı 2, Sayfa(lar) 061-064
[ Turkish ] [ Tam Metin ] [ PDF ]
The Results of Percutaneous Surgical Release in the Trigger Finger Treatment
Şükrü DEMİR1, Emre ERGEN1, Hacı Bayram TOSUN2
1Elazığ Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Elazığ, TÜRKİYE
2Adıyaman Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Adıyaman, TÜRKİYE
Keywords: Trigger finger, treatment, surgery, percutaneous release

Objective: Trigger finger is a common cause of pain and disability of the hand. There are pain, swelling, limitation of finger movements and a feeling of triggering in the fingers of the hand. Conservative methods are used initially in the treatment, but in case of unsuccess are performed. In this study, we aimed to evaluate the results of the percutaneous release in the surgery of trigger finger.

Materials and Methods: A total of 30 patients who underwent percutaneous A1 pulley release due to trigger finger between May 2016 and December 2016 were included in the study. Patients who had previously undergone conservative treatment, but had not any relief in the complaints despite conservative treatment for at least 3 months were included in the study. Percutaneous A1 pulley release was applied to 32 fingers of 30 patients. At the last follow-up, range of motion of finger joints, subjective pain assessment and patient satisfaction were measured.

Results: Thirty patients (93.75%) had successful results. Two patients have insufficient release, so open surgery was performed. Major complications were not observed. There were excellent patient satisfaction in 31 (96.8%) of the patients. Only one patient had recurrent pain in the A1 pulley area.

Conclusion: Percutaneous A1 pulley release applied in the treatment of trigger finger is a low-cost and minimally invasive technique with high success rate and excellent patient satisfaction. However, the anatomical marker points should be given the greatest importance to avoid possible neurovascular damage during this procedure.

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