Office-Based Open Trigger Finger Release Has a Low Complication Rate
Purpose: Open trigger finger release is generally performed in the operating room in an outpatient setting. Its complication rate widely varies between 1% and 43%. Our goal was to determine whether performing this surgery in the clinic is a safe and viable alternative to performing this surgery in t...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | Journal of Hand Surgery Global Online |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514122000093 |
| _version_ | 1818467836910108672 |
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| author | Mitra Kardestuncer Tarik Kardestuncer, MD |
| author_facet | Mitra Kardestuncer Tarik Kardestuncer, MD |
| author_sort | Mitra Kardestuncer |
| collection | DOAJ |
| description | Purpose: Open trigger finger release is generally performed in the operating room in an outpatient setting. Its complication rate widely varies between 1% and 43%. Our goal was to determine whether performing this surgery in the clinic is a safe and viable alternative to performing this surgery in the operating room. Methods: All open trigger finger releases performed at our clinic between 2015 and 2019 were retrospectively reviewed. Each surgery was performed by the same fellowship-trained hand surgeon using a standard open technique with an Esmarch tourniquet and without the use of epinephrine. Five hundred twenty seven finger releases were performed in 514 patients. Complications were defined as signs or symptoms requiring further treatment. Results: There were 33 documented complications in the 527 fingers (6.3%). The most common complications were minor wound complications, including 17 (3.2%) with localized cellulitis, 2 (0.4%) with a superficial infection, 4 (0.8%) with stitch abscesses, and 5 (0.9%) with wound dehiscence. All minor complications resolved quickly with oral antibiotics and supportive care. Five patients (0.9%) required further operative management. Of these 5, 2 (0.4%) had a deep infection, 1 had chronic dehiscence, and 2 (0.4%) required flexor tenosynovectomy for persistent pain and stiffness. Conclusions: Patients who undergo open trigger finger release surgery in the clinic have complication rates similar to reported complication rates of surgery performed in the operating room. Clinical relevance: Performing open trigger finger surgery in the office is safe. We continue to perform this surgery during the coronavirus disease 2019 pandemic, when access to operating rooms and personal protective equipment is limited. |
| first_indexed | 2024-04-13T21:05:25Z |
| format | Article |
| id | doaj.art-452e7b572403411aa2bfd1c92670f264 |
| institution | Directory Open Access Journal |
| issn | 2589-5141 |
| language | English |
| last_indexed | 2024-04-13T21:05:25Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj.art-452e7b572403411aa2bfd1c92670f2642022-12-22T02:29:59ZengElsevierJournal of Hand Surgery Global Online2589-51412022-05-0143153155Office-Based Open Trigger Finger Release Has a Low Complication RateMitra Kardestuncer0Tarik Kardestuncer, MD1University of Chicago, Chicago, ILOrthopedic Partners, North Franklin, CT; Corresponding author: Tarik Kardestuncer, MD, Orthopedic Partners, LLC, 82 News Park Ave, North Franklin, CT 06254.Purpose: Open trigger finger release is generally performed in the operating room in an outpatient setting. Its complication rate widely varies between 1% and 43%. Our goal was to determine whether performing this surgery in the clinic is a safe and viable alternative to performing this surgery in the operating room. Methods: All open trigger finger releases performed at our clinic between 2015 and 2019 were retrospectively reviewed. Each surgery was performed by the same fellowship-trained hand surgeon using a standard open technique with an Esmarch tourniquet and without the use of epinephrine. Five hundred twenty seven finger releases were performed in 514 patients. Complications were defined as signs or symptoms requiring further treatment. Results: There were 33 documented complications in the 527 fingers (6.3%). The most common complications were minor wound complications, including 17 (3.2%) with localized cellulitis, 2 (0.4%) with a superficial infection, 4 (0.8%) with stitch abscesses, and 5 (0.9%) with wound dehiscence. All minor complications resolved quickly with oral antibiotics and supportive care. Five patients (0.9%) required further operative management. Of these 5, 2 (0.4%) had a deep infection, 1 had chronic dehiscence, and 2 (0.4%) required flexor tenosynovectomy for persistent pain and stiffness. Conclusions: Patients who undergo open trigger finger release surgery in the clinic have complication rates similar to reported complication rates of surgery performed in the operating room. Clinical relevance: Performing open trigger finger surgery in the office is safe. We continue to perform this surgery during the coronavirus disease 2019 pandemic, when access to operating rooms and personal protective equipment is limited.http://www.sciencedirect.com/science/article/pii/S2589514122000093ComplicationsOffice surgeryOpen releaseTrigger finger |
| spellingShingle | Mitra Kardestuncer Tarik Kardestuncer, MD Office-Based Open Trigger Finger Release Has a Low Complication Rate Journal of Hand Surgery Global Online Complications Office surgery Open release Trigger finger |
| title | Office-Based Open Trigger Finger Release Has a Low Complication Rate |
| title_full | Office-Based Open Trigger Finger Release Has a Low Complication Rate |
| title_fullStr | Office-Based Open Trigger Finger Release Has a Low Complication Rate |
| title_full_unstemmed | Office-Based Open Trigger Finger Release Has a Low Complication Rate |
| title_short | Office-Based Open Trigger Finger Release Has a Low Complication Rate |
| title_sort | office based open trigger finger release has a low complication rate |
| topic | Complications Office surgery Open release Trigger finger |
| url | http://www.sciencedirect.com/science/article/pii/S2589514122000093 |
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