Sato Edson Sasahara, dos Santos João Baptista Gomes, Belloti João Carlos, Albertoni Walter Manna, Faloppa Flavio
Discipline of Hand and Upper Limb Surgery, Department of Orthopedics and Traumatology, UNIFESP - Federal University of São Paulo, Rua Borges Lagoa 786, São Paulo City, Cep: 04038-031 São Paulo, Brazil.
Hand Clin. 2014 Feb;30(1):39-45. doi: 10.1016/j.hcl.2013.08.017. Epub 2013 Nov 9.
Open surgery has been indicated as the surgical treatment for trigger finger for many years; however, minimally invasive techniques are replacing conventional methods. Minimally invasive techniques enable early recovery of the patient with minimal damage to soft tissues. The authors’ study showed that levels of effectiveness of open surgical and percutaneous methods were superior to those of the conservative method using corticosteroid based on the cure and reappearance rates of the trigger. Percutaneous pulley release for treating trigger finger is a safe, effective, and minimally invasive surgical alternative.
多年来,开放性手术一直被视为扳机指的外科治疗方法;然而,微创技术正在取代传统方法。微创技术能使患者早日康复,对软组织的损伤最小。作者的研究表明,基于扳机的治愈率和复发率,开放性手术和经皮方法的有效性水平优于使用皮质类固醇的保守方法。经皮腱鞘松解术治疗扳机指是一种安全、有效且微创的手术选择。