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Trigger Finger Release: Are Sutures Requiring Removal Necessary?

Tiffany N Bridges1, Alexis A Kasper2, Matthew B Sherman2

  • 1Department of Orthopaedic Surgery, Jefferson Health New Jersey, Stratford, NJ.

Journal of Hand Surgery Global Online
|December 18, 2023
PubMed
Summary
This summary is machine-generated.

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Trigger finger release (TFR) closure with absorbable sutures and skin glue significantly reduces postoperative visits compared to nonabsorbable sutures. This method offers similar complication rates, improving patient convenience after TFR surgery.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Surgical Techniques

Background:

  • Optimal wound closure following trigger finger release (TFR) surgery lacks consensus.
  • Comparing nonabsorbable sutures versus absorbable sutures with skin glue is crucial for TFR patient management.

Purpose of the Study:

  • To compare postoperative visits and complications between TFR closure with nonabsorbable sutures and absorbable sutures with skin glue.
  • To determine if absorbable sutures and glue reduce postoperative visits without increasing complication rates.

Main Methods:

  • Retrospective review of 305 open TFR surgeries over 3 years.
  • Patients were divided into two groups: nonabsorbable sutures (suture group) and absorbable sutures with skin glue (glue group).
  • Data collected included postoperative visits, wound complications, infections, and need for hand therapy.
Keywords:
Absorbable sutureMonocrylNonabsorbable sutureProleneTrigger finger release

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Main Results:

  • The glue group had significantly fewer total postoperative visits (42) compared to the suture group (185).
  • Superficial surgical site infections were similar between groups (1.3% glue vs. 1.9% suture).
  • Both groups required comparable rates of postoperative hand therapy and had no deep infections.

Conclusions:

  • Absorbable sutures combined with skin glue provide an effective TFR closure method.
  • This approach leads to fewer postoperative visits, enhancing patient convenience without compromising safety.