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Percutaneous release for trigger thumb in children under local anesthesia.
Oğuzhan Çimen1, Kaan Süleyman Irgit2, Şahin Nami3
1Department of Orthopaedics and Traumatology, Medistanbul Hospital.
Journal of Pediatric Orthopedics. Part B
|March 13, 2023
Summary
Percutaneous A-1 pulley release is a safe and effective outpatient treatment for pediatric trigger thumb, achieving a 96.8% success rate with minimal complications. This minimally invasive procedure offers high patient satisfaction.
Area of Science:
- Orthopedic Surgery
- Pediatric Hand Surgery
Background:
- Trigger thumb in children often requires surgical intervention.
- Traditional open surgery involves hospitalization and longer recovery.
- Percutaneous release offers a less invasive alternative.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous A-1 pulley release under local anesthesia for pediatric trigger thumb.
- To assess outcomes in an outpatient setting without hospitalization.
Main Methods:
- Retrospective study of 183 children (218 thumbs) treated between March 2013 and August 2020.
- All patients underwent percutaneous release by a single orthopedic surgeon in an outpatient clinic under local anesthesia.
- Average follow-up duration was 5 years.
Main Results:
- A high success rate of 96.8% (211 out of 218 thumbs) was achieved.
- Only 3 cases (1.4%) experienced early postoperative relapse.
- No neurovascular deficits or infections were reported, indicating a favorable safety profile.
Conclusions:
- Percutaneous A-1 pulley release is a simple, minimally invasive, and effective treatment for pediatric trigger thumb.
- The procedure is suitable for outpatient settings, requires only local anesthesia, and offers high patient satisfaction with low complication rates.
