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

Year 2024, , 320 - 323, 27.10.2024

Ümit Gök , Özgür Selek

https://doi.org/10.53446/actamednicomedia.1490949

Abstract

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.

Keywords

tetik parmak, stenozan tenosinovit, A1 pulley, el cerrahisi

Ethical Statement

Kocaeli Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu Tarih : 25.04.2024 Karar No: KÜ GOKAEK-2024/07.28 Proje No: 2024/197 uygun bulunmuştur.

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

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.

Keywords

trigger finger, stenosing tenosynovitis, A1 pulley, hand surgery

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