A Comparative Study between Percutaneous Trigger Finger Release with 18-gauge hypodermic needle Technique and Open Technique.
Keywords:
Trigger finger, percutaneous trigger finger surgery, open trigger finger surgeryAbstract
Objective : To compare the results of open surgery with those of percutaneous surgery using 18-gauge needle in patients with trigger
fingers.
Materials and Methods : one hundred and four patients with 110 trigger fingers were prospectively randomized to either open (51 patients,55 fingers) or percutaneous(53 patients,55 fingers) surgeries at Yasothon Hospital. The operation was performed by one surgeon between September 1, 2011 and December30, 2013. Operative time, patient pain score(VAS), the returning time to daily activities and surgical complications were assessed at weeks 1,3 and 6.
Results : There were not statistical difference in demographic data.Trigger fingers were successfully treated in 55 fingers(100%) of the patients who underwent open surgery and in 54fingers(98.1%) of the patients who underwent percutaneous surgery. Mean postoperative time and mean returning time to daily activity were significant shorter in percutaneous surgery group. The percutaneous surgery group had lower pain score at 1 week follow-up than those in control group. No serious complications were observed in either group. The result found that one patient in the percutaneous’ surgery group
underwent open surgery 2 weeks after surgery due to residual triggering.
Conclusion : Percutaneous surgical technique in the treatment of trigger finger is a safe,cheap and effective method with a low rate of complications. It , is less painful and allows the patient to return to daily activities in a shorter time and is therefore a preferable alternative to open surgery.
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