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Prospective randomized trial of open versus percutaneous surgery for trigger digits
E C Gilberts1, W H Beekman, H J Stevens
1Department of Surgery, Sint Franciscus Gasthuis, Rotterdam, The Netherlands.
The Journal of Hand Surgery
|June 22, 2001
Summary
Percutaneous release of trigger digits offers faster recovery and less pain compared to open surgery. This minimally invasive technique achieved a 100% success rate, outperforming open surgery in rehabilitation outcomes.
Area of Science:
- Orthopedics
- Hand Surgery
- Minimally Invasive Procedures
Background:
- Trigger digits, a common condition affecting the hand, can be treated through various surgical interventions.
- Open surgical release of the first annular pulley is a traditional method for treating trigger digits.
Purpose of the Study:
- To compare the efficacy and outcomes of open surgical release versus percutaneous surgical release for trigger digits.
- To evaluate operation time, postoperative pain, motor function recovery, and complications associated with each technique.
Main Methods:
- A randomized study involving 96 patients with 100 trigger digits.
- Patients were allocated to either open (n=46) or percutaneous (n=54) surgical release of the first annular pulley.
- Outcomes assessed included operation time, postoperative pain duration, motor function recovery, and complications.
Main Results:
- Percutaneous release achieved a 100% success rate, compared to 98% for open surgery.
- Open surgery had a significantly longer operation time.
- Percutaneous surgery resulted in significantly shorter postoperative pain duration and faster motor function recovery.
- No serious complications were reported in either group.
Conclusions:
- Percutaneous release of trigger digits is a faster, less painful procedure with superior rehabilitation results compared to open surgery.
- The percutaneous technique demonstrates a high success rate and favorable patient outcomes for trigger digit treatment.