Modified Wound Closure Technique in de Quervain’s Tenosynovitis

Abstract

de Quervain’s release, or first dorsal compartment release, is a commonly performed procedure. There are several approaches to surgery including transverse and longitudinal incisions. The wrist is a sensitive area, and patients often report residual pain post-release. We offer a modified technique on wound closure in de Quervain’s release to facilitate a smoother postoperative experience by taking in account the patient experience from the finish of release until the time of suture removal. Prolene™ sutures that require removal are preferred over absorbable sutures due to skin reactions that occur with absorbable sutures that may cause more scarring, pain, and irritation to the radial sensory nerve. Additionally, the placement of Steri-Strips beneath the knot and cut end of suture, as well as one on top of the construct, ensures that there is minimal opportunity for prominent, stiff knots or sharp ends of suture to bother the patient. Altogether, from suture choice to purposeful Steri-Strip placement, our simple and quick modifications place high value in patient comfort and cosmesis, leading to improved patient satisfaction.