Trigger Finger Release: Are Sutures Requiring Removal Necessary?

PurposeThere is no consensus regarding optimal closure for trigger finger release (TFR) surgery. The purpose of this study was to compare the number postoperative visits and complications following TFR with nonabsorbable sutures versus those absorbable skin glue. hypothesis that wound glue will result in fewer visits, while having similar complication rates as sutures.MethodsA retrospective review identified all patients undergoing open over a 3-year period performed by two hand surgery fellowship–trained surgeons who adhered an identical surgical protocol except incisional closure. Patients were divided into groups: control group 4-0 monofilament requiring removal (“suture” group) buried not well (“glue” group). data collected included age, sex, complications, infections, antibiotic use, prescribed therapy, hospital admission, reoperation.ResultsA total 305 surgeries 278 study, 155 digits “suture” 150 “glue” group. Both groups age sex. had significantly more (185 vs 42, respectively, P < .001) within first 2 weeks (155 10, than Additional beyond between groups. Three (1.9%) (1.3%) developed superficial site infection 30 days after Neither deep infections hospitalization or reoperation. required therapy.ConclusionsAbsorbable afford rate removal.Type study/level evidenceTherapeutic IV. There sutures. A therapy. Absorbable removal.