HAND最新文献

{"title":"Knotless Tenorrhaphy of Cadaveric Zone 2 Flexor Digitorum Profundus Tendons.","authors":"Bradley J Vivace, Ashwin R Garlapaty, Samuel Hawkins, Evan Reeves, Will Bezold, Julia A V Nuelle, Daniel A London","doi":"10.1177/15589447251404977","DOIUrl":"10.1177/15589447251404977","url":null,"abstract":"<p><strong>Background: </strong>Barbed suture allows for a knotless tenorrhaphy, which could provide an expedient method of flexor tendon repair while limiting cross-sectional area (CSA) following repair.</p><p><strong>Methods: </strong>Fifty-one cadaveric flexor digitorum profundus tendons were procured based on an a priori sample size estimate. Specimens were randomized to either one of three 6-strand repair techniques (3-0 braided polyester Savage repair, 2-0 strength polypropylene barbed suture repair, and 4-0 looped nylon M-Tang repair). Length of time to complete each repair and cost of material was recorded. The long and short axes of the repair site were measured to calculate the CSA. An Instron loaded the constructs to 2-mm gapping and load to failure. Differences between long and short axes and CSA prior to tenotomy and post-tenorrhaphy were measured and compared for change.</p><p><strong>Results: </strong>Repair time for the Savage technique was significantly longer and provided significantly greater loads to 2-mm gapping and failure. Material cost with the Savage repair was significantly less than repairs with the other materials, whereas material cost with the barbed suture was significantly less than the material cost of the M-Tang repair. There were no significant differences between the 3 groups regarding change in long axis, short axis, or CSA measurements after repair.</p><p><strong>Conclusions: </strong>The Savage repair provided the greatest strength, with a lower suture cost, but a greater repair time. Barbed suture repair performed similar to the M-Tang repair at a lower material cost.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1473-1480"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12756056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145862784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Care Utilization and Out-of-Pocket Expenses in the 30-, 60-, and 90-Day Postoperative Period After Hand Trauma.","authors":"Jessica I Billig, Yixin Tang, Michael Wu, Luyu Xie, Joshua M Liao","doi":"10.1177/15589447251404983","DOIUrl":"10.1177/15589447251404983","url":null,"abstract":"<p><strong>Background: </strong>There are knowledge gaps about postsurgical utilization and spending after hand trauma, which has implications for outcomes and access to care.</p><p><strong>Methods: </strong>Using 2019-2022 national claims, we examined 30-, 60-, and 90-day postsurgical health care utilization and out-of-pocket (OOP) expenses of flexor tendon repairs, open reduction internal fixation (ORIF) of a distal radius fracture, and digital replantation/revascularization. Multivariable regression models were used to examine the association between characteristics and postsurgical utilization and OOP expenses.</p><p><strong>Results: </strong>Among 22 170 patients, a large proportion of patients had utilization within 30 days (19 188; 87%), 60 days (20 022; 91%), and 90 days (20 170; 92%) after surgery, translating to OOP expenses of $41 at 30 days versus $107 at 90 days with substantial procedural variation (eg, 90-day OOP expenses after ORIF of a distal radius fracture of $98 vs $211 for flexor tendon repair). Patients undergoing flexor tendon repair had greater odds of reoperation/hospitalization at 30 days (adjusted odds ratio [aOR] = 1.8, 95% confidence interval [CI] = 1.5-2.1), 60 days (aOR = 1.8, 95% CI = 1.5-2.0), and 90 days (aOR = 1.6, 95% CI = 1.4-1.8) compared with ORIF of distal radius fractures. Flexor tendon repair was associated with 52% greater OOP expenses at 30 days (95% CI = 1.4-1.6) and 33% greater OOP expenses at 90 days (95% CI = 1.2-1.4) compared with ORIF of distal radius fractures.</p><p><strong>Conclusions: </strong>There was substantial variation in utilization and patient OOP expenses 30, 60, and 90 days postoperatively. These findings can help inform policy and practice leaders as they implement strategies to minimize patient financial burden of health care.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1551-1558"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12783034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Culturally Sensitive Care in Digit Amputations: A Quality Improvement Project.","authors":"Tiffany K Y Tse, Annie Wang, Daniel Antflek, Ryan A Paul, Heather L Baltzer","doi":"10.1177/15589447251387287","DOIUrl":"10.1177/15589447251387287","url":null,"abstract":"<p><strong>Background: </strong>Many patients have spiritual or cultural preferences regarding the disposal and reclamation of amputated parts, yet little is known about the current process. Our goal was to understand patient preferences and increase patient education regarding amputation disposal and reclamation.</p><p><strong>Methods: </strong>A quality improvement approach was used. Stakeholders were interviewed to process map current methods. Amputation patients were surveyed to determine preferences for amputation disposal and reclamation. Using the Plan-Do-Study-Act, change concepts were applied and outcomes measured through the same survey. Descriptive methods, analysis of variance, unpaired <i>t</i>-tests, and run/statistical process control charts were used for analysis.</p><p><strong>Results: </strong>Stakeholders identified barriers against amputation reclamation, including lack of patient access to resources, limited provider clarity surrounding the process, and no standardized policies. Baseline preferences were first gathered from 31 patients: 42% felt educated about the disposal process, 42% were concerned about the treatment of their amputated part, 74% wished to be more informed, and 16% wanted to reclaim their part. Change concepts were then implemented. First, a presentation was given at teaching rounds for medical trainees and staff. Results showed no significant change. Second, an educational handout about amputation disposal was distributed to patients. This showed a significant improvement in patient education, decreased concern for the management of amputated parts, and decreased needs for further discussion with health care providers.</p><p><strong>Conclusions: </strong>Many patients have preferences for amputation disposal. Patients mostly value education and awareness. The format through which education is provided is important-access to educational material may be most beneficial for patients.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1410-1415"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12602266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145471028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Area Deprivation Index Associated With Delays in Surgical Treatment of Acute Scaphoid Fractures?","authors":"Tania P Mamdouhi, Carol A Janney, Elinor Stern, Zhaorui Wang, Daniel Yang, T K Kevin Chan","doi":"10.1177/15589447251397006","DOIUrl":"10.1177/15589447251397006","url":null,"abstract":"<p><strong>Background: </strong>Social determinants of health greatly influence medical outcomes. The Area Deprivation Index (ADI) assesses socioeconomic disparities. This study evaluates the impact of geographic socioeconomic disadvantage on the time to scaphoid open reduction and internal fixation (ORIF).</p><p><strong>Methods: </strong>A retrospective chart review from 2012 to 2023 analyzed time to surgery (TTS) with 21- and 28-day cutoffs (TTS₂₁ and TTS₂₈). Patients were categorized into highest (ADI_high) and lowest (ADI_low) national ADI quartiles. Logistic regression and proportional hazards models were built to determine whether ADI status affected time to surgery. The impact of age, sex, race, ethnicity, insurance status, and medical comorbidities on TTS was also assessed.</p><p><strong>Results: </strong>Among 116 patients (83% male, 17% female), the average TTS was 20.8 ± 27.1 days. For TTS₂₁, mean TTS_≤21 was 8.9 ± 5.2 days versus TTS_>21 was 52.1 ± 35.3 days (<i>P</i> < .05). For TTS₂₈, mean TTS_≤28 was 10.5 ± 6.9 days versus TTS_>28 was 62.7 ± 36.6 days (<i>P</i> < .05). ADI_low and ADI_high quartiles had 30 patients each, with average TTS of 23.1 ± 34.3 and 19.3 ± 25.0 days, respectively, with no significant difference (<i>P</i> = .18).</p><p><strong>Conclusion: </strong>Significant surgical delays occur when scaphoid ORIF is performed after 21- or 28-day post-injury. Although geographic disadvantage was not identified as a risk in this study due to small sample size, future studies could help clarify the utility in ADI integration into electronic records to identify at-risk patients for more timely surgical intervention.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1509-1516"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12669002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145648329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypothenar Hammer Syndrome: A Systematic Review and Meta-Analysis of Patency Rates and Patient-Reported Outcome Measures.","authors":"Louis Massoud, Emily H Chestnut, Joshua M Adkinson, Brian M Christie","doi":"10.1177/15589447251397663","DOIUrl":"10.1177/15589447251397663","url":null,"abstract":"<p><p>Hypothenar hammer syndrome (HHS) is a rare condition typically seen in patients with repetitive trauma to the hand. Multiple treatment options are available, and these range from conservative options to surgery, depending on severity of symptoms. There is an abundance of case reports reporting on HHS, with limited large studies reporting patency findings and patient-reported outcome measures (PROM). The main objective of this study was to review long-term patency rates and PROMs in HHS patients undergoing surgical intervention with a focus on vein graft repair, arterial graft repair, and direct repair without a graft. A total of 1399 publications were screened, and 14 were included (patency rates papers n = 13; PROM papers n = 5). The pooled patency rates were 65% for vein grafts (with a yearly rate decline of 4.4%; <i>P</i> = .243), 100% for the arterial grafts (4 studies; n = 23; mean follow-up 40.8 months), and 67% for the direct repair group. Longitudinal patency rates were higher with arterial grafts than with vein grafts (β = 0.36, <i>P</i> = .001). Pooled Disabilities of the Arm, Shoulder, and Hand (DASH) scores were comparable between vein grafts and direct repair (10.9 vs. 11.5; <i>P</i> = .958). In summary, there is a downward yearly trend in patency rates of vein grafts. Compared to vein grafts, arterial grafts have higher long-term patency rates. Vein grafts and direct repair, however, yield promising postoperative function and pain as assessed via DASH and Visual Analog Scale (VAS) scores.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1466-1472"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12708292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145762711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Limb Dominance and Trumpeter Posture in Children With Brachial Plexus Birth Injury.","authors":"Madison Lovette, Lauren N Lottier, R Tyler Richardson, Natalie Williams, Spencer Warshauer, Dan A Zlotolow, Scott H Kozin, Stephanie A Russo","doi":"10.1177/15589447261483206","DOIUrl":"10.1177/15589447261483206","url":null,"abstract":"<p><strong>Background: </strong>Children with brachial plexus birth injuries (BPBIs) may experience atypical posturing when performing activities of daily living, including eating. Clinical assessments often evaluate feeding ability through hand-to-mouth movements, using the unaffected arm as an internal control. This study examined differences between dominant and nondominant limbs and affected and unaffected BPBI limbs during feeding tasks and aimed to understand better the etiology of trumpeter posture in children with BPBI.</p><p><strong>Methods: </strong>Joint angles were measured during feeding tasks using 3-dimensional motion capture in 23 typically developing children aged 6 to 18 years. Previously collected hand-to-mouth motion data from children with BPBI were used. Analyses compared dominant versus nondominant limbs within the control group and differences between the BPBI group and the control group.</p><p><strong>Results: </strong>No differences were observed between dominant and nondominant limbs. In contrast, there were significant differences between the unaffected BPBI limb and the control group. The affected limb in the BPBI group differed from both the unaffected limb and the control group. The BPBI trumpeting group showed significantly decreased glenohumeral and humerothoracic external rotation and glenohumeral and humerothoracic cross-body adduction compared with the BPBI non-trumpeting group. Brachial plexus birth injury groups also showed significantly increased scapulothoracic internal rotation (scapular winging) compared with the BPBI unaffected and control groups.</p><p><strong>Conclusions: </strong>Symmetry was observed between dominant and nondominant limbs, but the unaffected BPBI limb differed from controls. Lack of external rotation was the primary factor in trumpeter posture, likely leading to compensatory movements affecting glenohumeral and humerothoracic joint motion. Glenohumeral and humerothoracic cross-body adduction may be secondary factors related to trumpeter posture.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261483206"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13627456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Occupational Therapy on Patient Outcomes Following Total Wrist Arthroplasty.","authors":"Sofia B Restrepo, Tantien Nguyen, Victor T Hung, Joseph Cutrone, Daniel Bailey, Colt Crymes, Alfred V Hess","doi":"10.1177/15589447261485504","DOIUrl":"10.1177/15589447261485504","url":null,"abstract":"<p><strong>Background: </strong>There are few studies examining the correlation between postoperative occupational rehabilitation and patient outcomes after total wrist arthroplasty (TWA). Similar to other arthroplasties, specialized therapy may benefit patients following TWA by improving rehabilitation outcomes. This study investigates the association between TWA postoperative occupational therapy and patient outcomes, hypothesizing improved range of motion (ROM), fewer complications, and reduced costs from fewer additional surgeries.</p><p><strong>Methods: </strong>A retrospective review was conducted on 35 patients (average age, 66; range, 56-78) who underwent TWA. Patients were divided based on whether they attended postoperative occupational therapy at our institution. Data collected included demographics, ROM, Quick Disabilities of the Arm, Shoulder, and Hand scores, complications, and total surgical costs.</p><p><strong>Results: </strong>Our results showed that patients receiving Specialized Therapy had similar ROM outcomes. No significant differences were found in wrist extension, flexion, pronation, supination, radial/ulnar deviation, or grip strength improvements (<i>P</i> = .077, <i>P</i> = .879, <i>P</i> = .699, <i>P</i> = .393, <i>P</i> = .682, <i>P</i> = .694, <i>P</i> = .976). However, the specialized therapy group had significantly fewer complications than the general therapy group (<i>P</i> = .04). Both groups experienced comparable additional surgery rates and surgical costs.</p><p><strong>Conclusion: </strong>Specialized therapy after TWA was associated with a significantly lower complication rate. Patients who underwent general therapy achieved comparable ROM outcomes, although they demonstrated a non-significant decrease in pronation and supination relative to baseline. Overall surgical costs and reoperation rates were similar between groups.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261485504"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13627457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suture Anchor Fixation for Zone 1 Flexor Digitorum Profundus Avulsion Injuries: A Systematic Review of Outcomes and Complications.","authors":"Andrew Adeyiga, Charles Igwe, Kole Niemi, Alexander Koo, Jeffrey G Stepan","doi":"10.1177/15589447261485595","DOIUrl":"10.1177/15589447261485595","url":null,"abstract":"<p><p>There is a paucity of literature on clinical outcomes of suture anchor repair for zone 1 flexor digitorum profundus (FDP) injury. The purpose of this study was to summarize the clinical results and complications of suture anchor repairs for zone 1 (FDP) tendon injuries across available peer-reviewed literature. A systematic search in October 2025 was conducted following the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to screen for peer-reviewed randomized controlled trials, retrospective and prospective studies, and case series reporting outcomes and complications of patients who underwent zone 1 flexor tendon repair with suture anchors. Eight articles (5 retrospective cohort studies, 3 case series) met inclusion criteria. A total of 161 patients underwent FDP repair with suture anchor fixation. Complications and poor outcomes were reported in 44 (27%) cases. Postoperative stiffness or decreased range of motion was the most common complication, confirmed in 27 (17%) cases. Infection, anchor migration/exposure/protrusion, nail deformity, and tendon repair failure occurred in 7 (4%), 4 (2%), 2 (1%), and 4 (2%) cases, respectively. Suture anchor repair of FDP avulsion injuries demonstrates lower rates of nail deformity and infection than those of pullout buttons; however, it still presents complications that are both familiar and unique compared with classic techniques. These results can be used to help counsel patients on the risks of surgery via suture anchor fixation.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261485595"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systemic Amyloidosis and Postoperative Outcomes After Carpal Tunnel Release: A Propensity Score-Matched Cohort Study.","authors":"Firdavs Kurbanov, Christopher Dussik, Amy Phan, Avi Lamba, Justin Wong, Joseph Ferraro, Bilal Mahmood, Danielle Wilbur","doi":"10.1177/15589447261487629","DOIUrl":"10.1177/15589447261487629","url":null,"abstract":"<p><strong>Background: </strong>Carpal tunnel syndrome (CTS) is common, and carpal tunnel release (CTR) is frequently performed with low complication rates. Amyloidosis has been linked to CTS pathophysiology, but data on postoperative CTR outcomes in patients with systemic amyloidosis are limited. We assessed whether systemic amyloidosis is associated with early postoperative complications or subsequent CTS-related care after CTR.</p><p><strong>Methods: </strong>We performed a retrospective, 1:1 propensity score-matched cohort study using the TriNetX federated electronic health record (EHR) network. Adults (≥18 years) with CTS who underwent open or endoscopic CTR within 6 months of diagnosis were included, and the CTR date served as the index. Patients with a diagnosis of amyloidosis recorded on or before index were matched to controls without amyloidosis on demographics, comorbidities, CTR technique, prior carpal tunnel injection, and systemic corticosteroid exposure. Outcomes were assessed in 2 prespecified windows: early postoperative wound-related complications (post-index days 1-30) and intermediate-term symptom-driven care (post-index days 90-365). We estimated absolute risk differences, risk ratios, and Cox hazard ratios with 95% CIs.</p><p><strong>Results: </strong>After matching, 943 patients remained in each cohort with 1-year follow-up. No statistically significant differences were observed for early postoperative complications within 30 days of CTR (infection, wound disruption, or postprocedural bleeding and hematoma) or intermediate-term outcomes between 90 and 365 days (subsequent CTR, nerve conduction studies, or steroid injection). Time-to-event analyses were consistent with these findings.</p><p><strong>Conclusions: </strong>In this propensity-matched EHR cohort, recorded diagnosis of amyloidosis was not associated with higher early complication rates or increased 1-year downstream care after CTR.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261487629"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Preoperative Serum 25-Hydroxyvitamin D Levels and Early Wound Healing Following Open Trigger Finger Release.","authors":"Mehmet Can Gezer, Mahircan Demir","doi":"10.1177/15589447261487491","DOIUrl":"10.1177/15589447261487491","url":null,"abstract":"<p><strong>Background: </strong>Trigger finger is a common hand condition frequently treated with open A1 pulley release. Although surgical outcomes are generally favorable, early wound healing disturbances may impair recovery. Evidence regarding the relationship between preoperative vitamin D status and postoperative wound healing in trigger finger surgery remains limited.</p><p><strong>Methods: </strong>This retrospective single-center study included 150 patients undergoing open trigger finger release. Early wound healing status was evaluated at postoperative day 14 using predefined clinical wound criteria. Preoperative serum 25-hydroxyvitamin D [25(OH)D] levels were analyzed as continuous and categorical variables. Functional outcomes were assessed using the Michigan Hand Outcomes Questionnaire (MHQ). Multivariable logistic regression analysis was performed to identify independent predictors of delayed wound healing after adjustment for clinical confounders.</p><p><strong>Results: </strong>Delayed wound healing occurred in 30 patients (20%). Mean preoperative serum 25(OH)D levels were significantly lower in patients with delayed healing than in those with normal healing (18.2 ± 6.9 vs 29.8 ± 8.5 ng/mL; <i>P</i> < .001). Lower serum 25(OH)D level independently predicted delayed wound healing (odds ratio [OR], 0.92, 95% CI, 0.88-0.96, <i>P</i> < .001), together with higher body mass index, diabetes mellitus, elevated glycated hemoglobin, and advanced Quinnell grade. Patients with normal wound healing demonstrated significantly superior MHQ outcomes at postoperative week 6 and month 3.</p><p><strong>Conclusion: </strong>Low preoperative serum 25(OH)D level was independently associated with delayed wound healing and poorer functional recovery after open trigger finger release. Preoperative vitamin D status may represent a clinically relevant risk marker requiring further prospective investigation.</p><p><strong>Level of evidence: </strong>Level III Retrospective Comparative Cohort Study.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261487491"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}