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Our cutting edge, minimally invasive, in-office hand care is guided by the latest research conducted at some of the most prestigious academic training facilities in the world. Evidence Based Medicine!
What does this mean for you?
We achieve outstanding results for your carpal tunnel, trigger finger, etc. under local anesthesia in the office as safely and effectively as treatment in a hospital or surgery center. Additionally, studies also show our approach is the most convenient, affordable, and preferred option for patients.
This article reviews surgery in an out-patient procedure room rather than an operating room. In this study there were no major intraoperative surgical or medical complications. There was a low rate of infection, development of complete regional pain syndrome, and a low need for revision surgery. This study supports the safety of hand surgery in an out-patient procedure room that patient safety is not a barrier to performing minor hand surgery in the outpatient procedure room setting.
This article compared carpal tunnel surgery done in a hospital operating room to surgery performed in a procedure room under local anesthesia and standard field draping (sterile draping with towels). The study showed that in over 1504 patients done in a procedure room the deep infection rate was 0% and the superficial infection rate was 0.4%. No different than surgery in a full operating room.
Procedure Room vs Operating Room CTR Safety
This article compares trigger finger release in an office-based procedure room versus the operating room. The study concluded that performing trigger finger release in an office-based procedure room under local anesthesia was associated with a comparably low risk of major medical complications, surgical complicatios, and iatrogenic complications.
This study reviewed the use of diagnostic ultrasound of the carpal tunnel to confirm carpal tunnel syndrome compared to EMG/NCS.
This study reviewed the common anatomic variations in the 3rd common digital nerve as well as associated anatomic landmarks to predict the origin and course of the nerve to allow the surgeon to minimize risk to this important structure.
This article introduces the technique of percutaneous trigger finger release in the office.
Management of diabetic trigger finger with immediate surgical release in the clinic is the most cost-effective treatment strategy, assuming a corticosteroid injection failure rate of 34%.
A summary of the pathomechanics, risk factors, and varied treatments for trigger finger.
Clinical and anatomy study demonstrating the safety and efficacy of percutaneous trigger release.
This article reviews clinical and other deciding factors in choosing injection and surgery in the treatment of trigger finger. Patient data from the study supports the reasonable choice of surgical trigger finger release after one failed steroid injection.
This article reviews use of an 18 gauge needle for percutaneous trigger finger release with an without use of a steroid injection.
This article shows A1 pulley release is an effective, safe, and convenient technique for the primary trigger finger and as a secondary procedure for patients who have residual triggering after the initial surgical procedure.
Percutaneous relase of the A1 pulley using a #15 blade was associated with good efficacy and an acceptable margin of safety in this series.
This article discusses the effective first-line intervention for the treatment of trigger finger. At long-term follow-up, the success incidence may be as high as 69%.
This article reviews the long-term success of repeat steroid injections for trigger fingers and to identify the predictors of treatment outcomes.
This study investigates the incidence and prognostic factors for prolonged postoperative symptoms after open A1 pulley release in patients with trigger fingers, despite absence of any complications.
This article reviews the effectiveness and safety of minimally invasive distal intrinsic release and extensor tenolysis combined with percutaneous release of proximal and distal interphalangeal joint collateral ligaments.
Smoking is a prevalent modifiable risk factor that has been associated with adverse postoperative outcome across numerous surgical specialties. This study examined the impact of smoking on 30-day complications in patients undergoing hand surgery procedures.
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