Comparative Study between Percutaneous Trigger Finger Release with Feel and Pull Technique and Open Technique: Preliminary Report
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Abstract
Nowadays, many methods were used to treatment in trigger finger. In Maharat Nakhon Ratchasima Hospital (MRH), percutaneous trigger finger release with Feel and Pull method was developed that are safety and decrease risk of injury to tendon and nerve. Aim: To preliminary report clinical outcome of percutaneous trigger finger release with feel and pull technique compare with standard open technique. Patients & Methods: This prospective randomized control trial study was performed in MRH from January to August 2009. Twenty trigger fingers were randomized. The recurrent rate, post operative pain, surgical complication and satisfaction were compared. Results: Percutaneous release was done in 9 cases and open technique in 11 cases. The recurrent rate in percutaneous group was 11.0% (1/9 cases) higher than standard technique (0/9 cases). The average visual analog pain score and satisfaction between two groups were not statistical difference (p>0.05). There was no complication in both groups. Conclusion: Percutaneous trigger finger release with feel and pull technique was the safe procedure with accepted recurrent rate. Patients can have smaller surgical scar and potentially to return to work quickly.
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