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| Experience in the Treatment of Congenital Tenosynovitis due to Thumb Stenosis in Children |
| SONG Defu, MA Yulong, WANG Xiaowei, et al |
| Xi'an Children's Hospital of Shaanxi Province, Shaanxi Xi'an 710032, China |
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Abstract Objective: To investigate the effect of mini-incision technique for congenital trigger thumb release. Methods: The clinical data of 30 children with congenital trigger thumb treated in our hospital from July 2016 to July 2018 were retrospectively analyzed. Patients were randomly divided into control group (n=39) and study group (n=39) according to different surgical treatment methods. The control group was treated with conventional surgical methods, and the study group received the mini-incision technique. Then the clinical efficacy, operation time, recovery time of affected finger function, hospital stay, complications, visual analogue scale (VAS) score and joint activity were compared between the two groups. Results: The total effective rate of the study group was significantly higher than that of the control group (P<0.05), and the operation time, the recovery time of the affected finger function and the hospitalization time of the study group were significantly shorter than those of the control group (P<0.05). VAS score and joint activity between the two groups showed no difference before treatment (P>0.05). After treatment, the VAS score was decreased, meanwhile the joint activity was increased in both groups after treatment, and the observation group had lower VAS score as well as better joint activity than those of the control group (P<0.05). The incidence rate of the complications in the study group was significantly lower than that in the control group (P<0.05). Conclusion: Mini-incision technique for congenital trigger thumb release has the advantages of simple operation, small wound, quick recovery (immediate intraoperative recovery of the affected finger extension and flexion function), definite efficacy, etc. It is a safe and reliable method for the treatment of children with congenital trigger thumb, which is worthy of clinical promotion and application.
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2020, Vol. 26 
