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Clinical Study Between Percutaneous Ultrasound-Guided Release and Open Classic Surgery in Treating Multiple Trigger
Masoud Yavari1, Seyed Masoud Modaresi1, Seyed Esmail Hassanpour2
1Department of Hand and Microsurgery, Panzdahe Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Advanced Biomedical Research
|June 8, 2023
Summary
Ultrasound-guided percutaneous surgery offers faster recovery and reduced pain for multiple trigger fingers compared to open surgery. Both methods achieve 100% surgical success, but ultrasound guidance improves patient satisfaction.
Area of Science:
- Orthopedics
- Hand Surgery
- Minimally Invasive Procedures
Background:
- Trigger finger is a common tendinopathy affecting hand function.
- Multiple finger involvement presents unique treatment challenges.
- Comparing surgical techniques is crucial for optimizing patient outcomes.
Purpose of the Study:
- To compare the clinical outcomes of open classic release versus ultrasound-guided percutaneous release for multiple trigger fingers.
- To evaluate differences in pain, functional ability, recovery time, and patient satisfaction between the two surgical methods.
Main Methods:
- A cohort study involving 34 patients with multiple trigger fingers from March 2019 to December 2020.
- Patients were treated with either open classic release or ultrasound-guided percutaneous release.
- Outcomes were assessed using pain severity and Quick Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) scores.
Main Results:
- One-month follow-up showed significantly less pain intensity in the ultrasound-guided group (P = 0.02).
- Recovery time was significantly faster in the ultrasound-guided percutaneous release group (P = 0.001, P < 0.001).
- Patient satisfaction was higher with ultrasound-guided surgery (94.1%) compared to open surgery (76.4%).
Conclusions:
- Both open classic release and ultrasound-guided percutaneous surgery are effective for multiple trigger fingers.
- Ultrasound-guided percutaneous surgery demonstrates advantages in faster recovery and reduced pain intensity.
- Ultrasound guidance enhances patient satisfaction in trigger finger treatment.
