Werner B C, Boatright J D, Chhabra A B, Dacus A R
Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA, USA.
J Hand Surg Eur Vol. 2016 Nov;41(9):970-976. doi: 10.1177/1753193416653707. Epub 2016 Sep 28.
A United States insurance database was examined for trigger digit release using International Classification of Diseases, 9th Revision diagnoses and procedures or Current Procedural Terminology codes. Complications after trigger digit release, including stiffness, infection and revision surgery, were assessed. A total of 209,634 patients who underwent trigger digit release were included. The rate of trigger digit release increased significantly from 2005 to 2012, with the middle finger the most frequently released. The rate of postoperative stiffness was low, ranging from 0.8% to 1.6% depending on the operated digit. The rate of postoperative infection was lower, ranging from 0.5% to 0.6%. The need for revision within 3 years of initial trigger digit release was also low, ranging from 0.3% to 0.8%. Complications, including infection, stiffness and revision surgery, occur infrequently, but certain factors, including diabetes, Dupuytren's disease, smoking, rheumatoid arthritis, obesity and age, increase risk.
Therapeutic Level III, Retrospective comparative study.
利用国际疾病分类第九版诊断和程序编码或现行程序术语编码，对美国一个保险数据库进行了扳机指松解术的检查。评估了扳机指松解术后的并发症，包括僵硬、感染和翻修手术。共纳入209,634例行扳机指松解术的患者。2005年至2012年期间，扳机指松解术的发生率显著增加，其中中指松解最为常见。术后僵硬发生率较低，根据手术手指不同，在0.8%至1.6%之间。术后感染率更低，在0.5%至0.6%之间。初次扳机指松解术后3年内翻修的需求也较低，在0.3%至0.8%之间。包括感染、僵硬和翻修手术在内的并发症很少发生，但某些因素，包括糖尿病、掌腱膜挛缩症、吸烟、类风湿性关节炎、肥胖和年龄，会增加风险。
治疗性三级，回顾性比较研究。
