Serious Complications of the Percutaneous A1 Pulley Release: Case Reports and Literature Review
Percutaneous first annular pulley (A1 pulley) release, which has been increasingly used to treat trigger fingers, has been widely established as a safe and simple procedure. Multiple studies have reported positive results of percutaneous A1 pulley release. In this study, however, we report cases of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2024-01-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2179-3911 |
| _version_ | 1797289840897687552 |
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| author | Dong Chul Lee Kyung Jin Lee Hohyung Lee Sung Hoon Koh Jin Soo Kim Si Young Roh |
| author_facet | Dong Chul Lee Kyung Jin Lee Hohyung Lee Sung Hoon Koh Jin Soo Kim Si Young Roh |
| author_sort | Dong Chul Lee |
| collection | DOAJ |
| description | Percutaneous first annular pulley (A1 pulley) release, which has been increasingly used to treat trigger fingers, has been widely established as a safe and simple procedure. Multiple studies have reported positive results of percutaneous A1 pulley release. In this study, however, we report cases of patients who developed complications after undergoing percutaneous A1 pulley release at local clinics. A total of six patients visited our hospital for infectious complications after percutaneous A1 pulley release. Various sequelae such as damage to normal structures, insufficient procedure, and tissue necrosis were observed during the exploration. A retrospective study was conducted to identify the cause and trend of the observed complications by instruments (HAKI knife or needle). In the HAKI knife group, there was a tendency for damage to normal structures, while in the needle group, an insufficient release or serious soft tissue necrosis was observed. Based on these cases, our findings confirm the existence and characteristics of infectious complications following the percutaneous A1 pulley release. We further identify that the type of instrument used predicts the nature of complications. Thus, reliable and skilled performance of the procedure by experts is essential for safe treatment. |
| first_indexed | 2024-03-07T19:11:50Z |
| format | Article |
| id | doaj.art-f851e104d79c4edbae6f2cb9acd6c73c |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-03-07T19:11:50Z |
| publishDate | 2024-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-f851e104d79c4edbae6f2cb9acd6c73c2024-03-01T00:10:25ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712024-01-01510111011710.1055/a-2179-3911Serious Complications of the Percutaneous A1 Pulley Release: Case Reports and Literature ReviewDong Chul Lee0https://orcid.org/0000-0003-4211-6901Kyung Jin Lee1https://orcid.org/0000-0002-9448-8291Hohyung Lee2https://orcid.org/0009-0008-8433-7247Sung Hoon Koh3https://orcid.org/0000-0002-8094-2561Jin Soo Kim4https://orcid.org/0000-0003-3369-2974Si Young Roh5https://orcid.org/0000-0002-8625-6124Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Republic of KoreaPercutaneous first annular pulley (A1 pulley) release, which has been increasingly used to treat trigger fingers, has been widely established as a safe and simple procedure. Multiple studies have reported positive results of percutaneous A1 pulley release. In this study, however, we report cases of patients who developed complications after undergoing percutaneous A1 pulley release at local clinics. A total of six patients visited our hospital for infectious complications after percutaneous A1 pulley release. Various sequelae such as damage to normal structures, insufficient procedure, and tissue necrosis were observed during the exploration. A retrospective study was conducted to identify the cause and trend of the observed complications by instruments (HAKI knife or needle). In the HAKI knife group, there was a tendency for damage to normal structures, while in the needle group, an insufficient release or serious soft tissue necrosis was observed. Based on these cases, our findings confirm the existence and characteristics of infectious complications following the percutaneous A1 pulley release. We further identify that the type of instrument used predicts the nature of complications. Thus, reliable and skilled performance of the procedure by experts is essential for safe treatment.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2179-3911trigger fingerpercutaneous A1 pulley releasecomplications |
| spellingShingle | Dong Chul Lee Kyung Jin Lee Hohyung Lee Sung Hoon Koh Jin Soo Kim Si Young Roh Serious Complications of the Percutaneous A1 Pulley Release: Case Reports and Literature Review Archives of Plastic Surgery trigger finger percutaneous A1 pulley release complications |
| title | Serious Complications of the Percutaneous A1 Pulley Release: Case Reports and Literature Review |
| title_full | Serious Complications of the Percutaneous A1 Pulley Release: Case Reports and Literature Review |
| title_fullStr | Serious Complications of the Percutaneous A1 Pulley Release: Case Reports and Literature Review |
| title_full_unstemmed | Serious Complications of the Percutaneous A1 Pulley Release: Case Reports and Literature Review |
| title_short | Serious Complications of the Percutaneous A1 Pulley Release: Case Reports and Literature Review |
| title_sort | serious complications of the percutaneous a1 pulley release case reports and literature review |
| topic | trigger finger percutaneous A1 pulley release complications |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2179-3911 |
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