Department of Plastic, Reconstructive and Hand Surgery, Erasmus Medical Centre, Rotterdam, The Netherlands.
Hand and Wrist Center, Xpert Clinics, The Netherlands.
J Hand Surg Eur Vol. 2024 Nov;49(10):1226-1234. doi: 10.1177/17531934241232341. Epub 2024 Feb 16.
Although trigger thumb release is commonly performed, there is no consensus on the optimal skin incision. This study aimed to compare outcomes of four incision techniques, including V-shaped, oblique, transverse and longitudinal incisions. Outcomes included the Michigan Hand Outcomes Questionnaire, satisfaction with the treatment and postoperative complications. The results of 875 patients who underwent trigger thumb release were assessed. All groups demonstrated improvement in self-reported hand function (range of 10-14 points), pain (25-27 points) and aesthetics (4-7 points) from baseline to 3 months postoperatively with no differences between incision techniques. Of the patients, 76% reported good or excellent satisfaction with the outcome of treatment. Satisfaction and complication rates of the different incision techniques were similar. These findings imply that there is no clear benefit of one type of incision over another for trigger thumb release, suggesting that surgeons may use the technique of their preference. III.
虽然扳机指释放术通常施行，但对于最佳皮肤切口尚无共识。本研究旨在比较 V 形、斜形、横行和纵行切口 4 种切口技术的结果。结果包括密歇根手功能问卷、对治疗的满意度和术后并发症。评估了 875 例接受扳机指释放术的患者。所有组在术后 3 个月内自我报告的手部功能（10-14 分）、疼痛（25-27 分）和美观（4-7 分）均有改善，不同切口技术之间无差异。76%的患者报告对治疗结果满意或非常满意。不同切口技术的满意度和并发症发生率相似。这些发现表明，扳机指释放术没有一种切口类型比另一种更有优势，这表明外科医生可以使用他们偏好的技术。III.
