Efficacy Analysis of Day Surgery A1 Pulley Release for Pediatric Trigger Thumb
Objective: To investigate clinical application of day surgery A1 pulley release for pediatric trigger thumb.Methods: We retrospectively analyzed the clinical data of 1,642 children with trigger thumb who were treated with day surgery A1 pulley release at our hospital, including satisfaction surveys,...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-09-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2021.734115/full |
| _version_ | 1818656834673704960 |
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| author | Yan Linhua Jiang Linjun Qu Xiangyang Liu Xing Li Ming Wu Jun |
| author_facet | Yan Linhua Jiang Linjun Qu Xiangyang Liu Xing Li Ming Wu Jun |
| author_sort | Yan Linhua |
| collection | DOAJ |
| description | Objective: To investigate clinical application of day surgery A1 pulley release for pediatric trigger thumb.Methods: We retrospectively analyzed the clinical data of 1,642 children with trigger thumb who were treated with day surgery A1 pulley release at our hospital, including satisfaction surveys, functional recovery, and complications.Results: The operative time for unilateral and bilateral tenolysis was 4.8 ± 3.1 and 9.2 ± 3.8 min, respectively. Three children had postoperative fever and were discharged on the 2nd day after surgery. The rest of the children were discharged on the day of surgery. All incisions healed primarily, and no complications of vascular and nerve injury were reported. The patients' degree of satisfaction with the medical treatment process, diagnosis and treatment workflow, treatment effectiveness, length of hospital stay and hospitalization cost, and discharge guidance were 97.9, 96.1, 99.3, 91.1, and 98.5%, respectively. The follow-up period was between 5 months and 3 years and 1 month. Four children experienced symptom relapse after the operation, and re-tenolysis was performed in one of them. At the final follow-up, the appearance and function of the thumb had recovered well in all cases.Conclusion: Day surgery A1 pulley release can effectively release tendon sheaths and has a short operative time, no complications of vascular and nerve injury, and good recovery of thumb function. It is a safe and reliable procedure with high patient satisfaction, and it is worthy of clinical promotion. |
| first_indexed | 2024-12-17T03:31:53Z |
| format | Article |
| id | doaj.art-2ad5c92665a4456887b9cf79bb2ed85f |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-17T03:31:53Z |
| publishDate | 2021-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-2ad5c92665a4456887b9cf79bb2ed85f2022-12-21T22:05:14ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-09-01910.3389/fped.2021.734115734115Efficacy Analysis of Day Surgery A1 Pulley Release for Pediatric Trigger ThumbYan LinhuaJiang LinjunQu XiangyangLiu XingLi MingWu JunObjective: To investigate clinical application of day surgery A1 pulley release for pediatric trigger thumb.Methods: We retrospectively analyzed the clinical data of 1,642 children with trigger thumb who were treated with day surgery A1 pulley release at our hospital, including satisfaction surveys, functional recovery, and complications.Results: The operative time for unilateral and bilateral tenolysis was 4.8 ± 3.1 and 9.2 ± 3.8 min, respectively. Three children had postoperative fever and were discharged on the 2nd day after surgery. The rest of the children were discharged on the day of surgery. All incisions healed primarily, and no complications of vascular and nerve injury were reported. The patients' degree of satisfaction with the medical treatment process, diagnosis and treatment workflow, treatment effectiveness, length of hospital stay and hospitalization cost, and discharge guidance were 97.9, 96.1, 99.3, 91.1, and 98.5%, respectively. The follow-up period was between 5 months and 3 years and 1 month. Four children experienced symptom relapse after the operation, and re-tenolysis was performed in one of them. At the final follow-up, the appearance and function of the thumb had recovered well in all cases.Conclusion: Day surgery A1 pulley release can effectively release tendon sheaths and has a short operative time, no complications of vascular and nerve injury, and good recovery of thumb function. It is a safe and reliable procedure with high patient satisfaction, and it is worthy of clinical promotion.https://www.frontiersin.org/articles/10.3389/fped.2021.734115/fullchildrenpatient satisfactionpulley releasesurgical complicationsthumb |
| spellingShingle | Yan Linhua Jiang Linjun Qu Xiangyang Liu Xing Li Ming Wu Jun Efficacy Analysis of Day Surgery A1 Pulley Release for Pediatric Trigger Thumb Frontiers in Pediatrics children patient satisfaction pulley release surgical complications thumb |
| title | Efficacy Analysis of Day Surgery A1 Pulley Release for Pediatric Trigger Thumb |
| title_full | Efficacy Analysis of Day Surgery A1 Pulley Release for Pediatric Trigger Thumb |
| title_fullStr | Efficacy Analysis of Day Surgery A1 Pulley Release for Pediatric Trigger Thumb |
| title_full_unstemmed | Efficacy Analysis of Day Surgery A1 Pulley Release for Pediatric Trigger Thumb |
| title_short | Efficacy Analysis of Day Surgery A1 Pulley Release for Pediatric Trigger Thumb |
| title_sort | efficacy analysis of day surgery a1 pulley release for pediatric trigger thumb |
| topic | children patient satisfaction pulley release surgical complications thumb |
| url | https://www.frontiersin.org/articles/10.3389/fped.2021.734115/full |
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