Open Surgery for Trigger Finger Required Combined a1-a2 Pulley Release. A Retrospective Study on 1305 Case
| Autor: | Francesco Fanfani, Giulio Fioravanti, Antonio Merolli, Vanni Strigelli, Lorenzo Rocchi, Gianfranco Merendi, Luigi Mingarelli |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty MEDLINE 030230 surgery Young Adult 03 medical and health sciences 0302 clinical medicine Recurrence A2 pulley Humans Medicine Orthopedic Procedures Orthopedics and Sports Medicine Aged Retrospective Studies Aged 80 and over 030222 orthopedics business.industry Medical record General surgery Open surgery Retrospective cohort study Middle Aged Hand surgeons medicine.disease Trigger Finger Disorder Telephone interview Female Surgery Trigger finger business |
| Zdroj: | Techniques in Hand & Upper Extremity Surgery. 23:115-121 |
| ISSN: | 1089-3393 |
| DOI: | 10.1097/bth.0000000000000231 |
| Popis: | We retrospectively reviewed 1305 open-surgery for idiopathic trigger finger performed by 4 senior hand surgeons between 2014 and 2016.Medical records and a telephone interview made with a minimum follow-up of 1 year were used to identify the recurrent rate of triggering and other complications.This retrospective study let us note that 169 fingers (13%) required simultaneous release of the A1-A2 pulleys because the sectioning of the A1 pulley alone did not lead to complete free sliding of the tendons. We did not record any bowstring complication and we ascribe this to both surgery and bandaging technique. Overall rate of complication was 11.8% and relapse triggering or permanent proximal interphalangeal joint flexion (PPIJF) were among them; notably, however, they occurred only in patients where the A2 pulley was not sectioned.Is possible to reduce the percentage of relapse triggering or PPIJF after trigger finger surgery, by performing that combined A1-A2 pulley release.Level III. |
| Databáze: | OpenAIRE |
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