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Journals / Acta Medica Nicomedia / 2024 / Cilt: 7 Sayı: 3

Retrospective Evaluation of Patients Who Received Surgery as the First Option in the Treatment of Green Type 3-4 Trigger Finger

Green Tip 3-4 Tetik Parmak Tedavisinde İlk Seçenek Olarak Cerrahi Tedavi Uygulanan Hastaların Retrospektif Değerlendirilmesi

Ümit Gök(UNIVERSITY OF HEALTH SCIENCES, KOCAELİ DERİNCE HEALTH RESEARCH CENTER, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF ORTHOPAEDICS AND TRAUMATOLOGY)0000-0003-2659-7952
Özgür Selek(KOCAELI UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF ORTHOPAEDICS AND TRAUMATOLOGY)0000-0003-0149-2492
Pages
320–323
Publication Date
2024-10-27
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We think that the surgery may be the first choice in selected cases.

📌 3 Key Takeaways

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Objective & Hypothesis:AİM: To evaluate the clinical and functional outcomes of the patients with trigger finger patients who are treated by open surgery method without applying conservative treatment modalities METHODS: Open A1 pulley surgical release under local anesthesia was applied to 67 trigger finger patients ( 45 female, 22 male, mean age 53,82, range 11-81).
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Key Findings & Data:The mean follow-up was 38,37 months (range 4-76 months).
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Conclusion & Impact:We think that the surgery may be the first choice in selected cases.
🔬Design:Klinik Araştırma
📍Scope:Comprehensive Sample
⚙️Variables:tetik parmak · stenozan tenosinovit · A1 pulley

Abstract

AİM: To evaluate the clinical and functional outcomes of the patients with trigger finger patients who are treated by open surgery method without applying conservative treatment modalities METHODS: Open A1 pulley surgical release under local anesthesia was applied to 67 trigger finger patients ( 45 female, 22 male, mean age 53,82, range 11-81). The mean follow-up was 38,37 months (range 4-76 months). As assosiated pathologies, there were type 2 DM in 14 and chronic renal failure in 1 patients. RESULTS: In 67 patients pain and triggering were found to be treated by open surgical A1 pulley release. No recurrence seen in triggering nodularity. Postoperatively there were no significant neurovascular complications noted CONCLUSION: As similar to literature, we believe that in the treatment of trigger finger with open surgery method is a safe and effective method and also supplies fast return to daily life. We think that the surgery may be the first choice in selected cases.

Özet

AMAÇ: Konservatif tedavi önerilen fakat hasta uyumsuzluğu nedeniyle konservatif tedavi uygulanmadan açık cerrahi teknik uygulanan tetik parmaklı hastaların klinik ve fonksiyonel sonuçlarını değerlendirmektir. YÖNTEM: Tetik parmak tanılı 67 hastanın ( 45 kadın, 22 erkek; ort. yaş 53,82; dağılım 11-81) parmağına açık insizyonla A1 pulley gevşetme cerrahi tedavisi uygulandı. Hastalar ortalama 38,37 ay (dağılım 4-76 ay) izlendi. İlave patolojiler bakımından, 14 hastada tip 2 Diabetes Mellitus (DM) ve 2 hastada kronik böbrek yetmezliği bulunmaktaydı BULGULAR: Açık cerrahi ile A1 pulley gevşetme uygulanan 67 parmaktaki ağrı ve takılmanın tamamen geçtiği görüldü. Hiçbir hastada tetiklenme veya nodül oluşumu tekrarlamadı. Olgularda postoperatif nörovasküler komplikasyona rastlanılmadı. SONUÇ: Literatüre benzer olarak tetik parmağın tedavisinde açık cerrahi ile elde edilen gevşetmelerin güvenli, etkili ve günlük yaşama dönmeyi hızlandıran bir yöntem olduğu kanısındayız. Cerrahinin seçili vakalarda ilk tercih olabileceğini düşünmekteyiz.

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Cite This Article

Gök, Ü., Selek, Ö. (2024). Retrospective Evaluation of Patients Who Received Surgery as the First Option in the Treatment of Green Type 3-4 Trigger Finger. Acta Medica Nicomedia, Cilt: 7 Sayı: 3, 320–323. https://doi.org/10.53446/actamednicomedia.1490949

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