Abstract

conventional treatment for trigger digits.1 Although minimally invasive techniques have been developed in various areas of orthopaedic surgery,2–4 percutaneous release of the A1 pulley remains controversial owing to the risk of neurovascular injuries.5 New instruments such as the hypodermic needle, tenotome, blade, and specially designed knives and needle knives have been developed.6–11 A cadaveric study has shown that percutaneous release of the A1 pulley can be safely and effectively performed with low risk for neurovascular structures.12 In a meta-analysis of randomised controlled trials comparing percutaneous release with open surgery Commentary: Percutaneous release of the A1 pulley using a modified Kirschner wire: a cadaveric study

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