Percutaneous versus open release of trigger digit

Abstract

Objectives: This study aimed to evaluate the safety and effectiveness of percutaneous release of trigger digit and compare the results with that of open surgery .

Methods: Those patients have been submitted according to Green grading severity (grade II & III), then divided into 2 groups randomly each with 26 patients. The 1st group has been treated with open release and the 2nd group has been treated with percutaneous release. Patients of both procedures have been followed up for 8 days and 28 days, to record and estimate pain of postoperative, infection, injury to nerve digits, repetition or continuation of triggering and movement of fingers.

Results: There was no differencies in the statistical analysis of both groups, although there was a tendency to earlier return Of daily living hand activities with full range of motion in the percutaneous group and also the complication rates where also low , the difference was insignificantly compared to the open group.

Conclusion: According to the study, both percutaneous and open techniques weren't significant statistically differences for postoperative pain, recovery of motor function, and patient satisfaction, but our study shows that percutaneous techniques are safer and more effective compared to open techniques.