Clinical observation of percutaneously looped thread transection in the surgical treatment of congenital trigger thumb (CTT)
WANG Yi-bin
TANG Yu
XU Zi-han
CHENG Ming
Abstract：Objective To study the effects of percutaneously looped thread transection in the surgical treatment of congenital trigger thumb ( CTT ). Methods Nineteen children with CTT ( 31 sides ) were enrolled and treated in our department from March 2013 to September 2014. All the surgeries were conducted by percutaneously looped thread transection to release the narrowness of long hallux flexor tendon sheath under ultrasound. All the children were evaluated by preoperative and postoperative Quinnell classification and the statistical analysis was performed by the Paired T test.Results Percutaneously looped thread transection was micro-invasive and less bleeding. Postoperative puncture point infection, poor healing, vascular and nerve injury had not been found. All the children recovered to normal within 3 to 7 days after the operation. The thumb initiative and passive activities of 28 sides were completely normal. No local pain or recurrence was found in 12 - 30 months’ follow-up. Symptoms of 2 sides were relieved. Only 1 had no response. The effective rate was 96.7%. The scores of preoperative and postoperative Quinnell classiifcation were 3.48 ± 0.54 and 0.39 ± 0.73 respectively. The P value was 0 and the differences were statistically signiifcant (P < 0.05 ).Conclusions The looped thread transection is a safe and effective method in the treatment of children’s CTT.
Keywords：MicrodissectionUltrasonographyTenosynovitisThumbPediatric orthopedics
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 226-230 )