What is the role of Kapandji enlargement-plasty in the treatment of trigger finger (TF)?

Updated: Apr 26, 2021
  • Author: Satishchandra Kale, MD, MBBS, MBA, MCh(Orth), FRCS(Edin), FRCS(Tr&Orth); Chief Editor: Harris Gellman, MD  more...
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Answer

Future treatment for TF may involve Kapandji enlargement-plasty of the A1 pulley. In this procedure, which is complex and technically demanding, the A1 pulley is enlarged by making a diagonal incision in it, followed by suture instead of simple longitudinal division, thus increasing the mean diameter of the canal.

In a study by Migaud et al, 15 patients who underwent this procedure and who were followed up for a mean period of 5 years had complete symptomatic relief without any recurrences. [77]


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