Transition From Open Trigger Finger Release to Micro-incision Trigger Finger Release Under Real-Time Ultrasound...

Area of Science:

• Orthopedic Surgery
• Musculoskeletal Disorders
• Minimally Invasive Procedures

Background:

• Trigger finger release (TFR) is a common surgical procedure.
• Real-time ultrasound (US) guidance offers potential advantages for TFR.
• Limited data exists on TFR outcomes in a real-world population with comorbidities.

Purpose of the Study:

• To evaluate the safety and efficacy of micro-incision TFR under real-time US guidance (uTFR).
• To assess outcomes in a diverse patient group, including those with comorbidities and concomitant hand issues.
• To report complication rates and analyze the postoperative follow-up process.

Main Methods:

• Retrospective review of 209 micro-incision uTFR procedures performed between February and September 2023.
• Data collection included patient demographics, comorbidities, triggering severity, and postoperative outcomes.
• Analysis of intraoperative and postoperative complications, revision surgeries, and follow-up requirements.

Main Results:

• No revision surgeries, nerve injuries, or infections were reported in 209 uTFRs across 116 patients.
• 98% of patients had at least one comorbidity or concomitant hand procedure.
• 97% of patients were eligible for streamlined follow-up, with 92% opting for telephone or RN visits.

Conclusions:

• Micro-incision uTFR is a safe and effective technique for index, middle, ring, and little finger trigger digits, irrespective of patient comorbidities.
• The procedure allows for simultaneous release of multiple digits, even under local anesthesia.
• Ultrasound guidance facilitates a streamlined follow-up process, benefiting both patients and clinical practices.