Treatment of bony Mallet finger using threaded Kirschner wire
Berkan Mersa, Ass. Prof.; Fatih Kabakas, MD; ?smail Bülent Özçelik, Ass. Prof.; Meriç U?urlar, MD; Ilker Sezer, MD; Husrev Purisa, MD
Sisli Hamidiye Etfal Training and Research Hospital, ?stanbul, Turkey
The management of bony mallet fingers is controversial. This article describes the technique and outcome of using threaded Kirschner wire to treat mallet fractures involving more than one-third of the articular surface.
Forty-seven patients were operated on between April 2004 and February 2012. The average follow-up period was 19.6 (range: 8 to 44) months.
According to the Crawford criteria, the results were excellent in 32 patients (69%), good in 12 patients (26%) and fair in 3 patients (6%). The mean range of motion was from 3º (extensor lag) (range: 0° to 15°) to 71º (range: 60° to 80°) flexion. As complications, five patients developed mild degenerative changes, three had pin tract infections, one had temporary nail ridging, and three had skin sloughing. None had persistent postoperative pain.
Threaded Kirschner wire achieved good reduction during surgery and maintained reduction postoperatively for six weeks in mallet fractures.
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