4.1 Article

Outcomes and complications after percutaneous release for trigger digits in diabetic and non-diabetic patients

Journal

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
Volume 40, Issue 7, Pages 735-739

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/1753193415590389

Keywords

Diabetes; trigger finger; percutaneous release; treatment; trigger digit

Funding

  1. Taipei Veterans General Hospital [V102B-018]
  2. National Science Council [NSC101-2314-B-075-070-MY2]
  3. National Yang-Ming University Ministry of Education

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We compared the short-term (3 months) and long-term (2 years) outcomes and complications of percutaneous release of 187 trigger digits of 154 patients treated between 2009 and 2012, all treated by a single surgeon. The 154 patients included 48 patients with diabetes mellitus and 106 non-diabetic patients. The only short-term complication was pain, occurring in three digits (5%) in the diabetic patients and six digits (5%) in the nondiabetic patients. The long-term complications were pain in 15 digits (25%) in the diabetic patients and 18 digits (14%) in the non-diabetic patients. This was not significant (p = 0.058). Recurrent triggering occurred in nine digits (15%) in the diabetic patients, which was significantly greater than the six digits (5%) in the non-diabetic patients (p = 0.013). The non-diabetic patients were significantly more satisfied.

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