Source:http://linkedlifedata.com/resource/pubmed/id/20954665
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
10
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| pubmed:dateCreated |
2010-10-19
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| pubmed:abstractText |
This article describes the treatment of a bony mallet finger deformity using 2 extension-block Kirschner wires (K-wires) with a transarticular K-wire fixation technique for precise alignment of the terminal extensor tendon-bone relationship and effective immobilization of the distal interphalangeal joint. Twenty-nine patients (33 fingers) with a bony mallet finger deformity and fracture fragment involving more than one-third of the articular surface were treated surgically. The fracture fragment was fixed and the mallet finger deformity was corrected in all patients using modified extension-block K-wires (2 dorsal extension-block pins) with a transarticular K-wire (volar side pin) fixation technique. Active motion of the proximal interphalangeal and metacarpophalangeal joints was not restricted. The wires are removed in the clinic 6 weeks postoperatively when the bridging trabeculae were observed in the radiographs, and immobilization in a stock splint was continued for an additional 2 weeks. According to Crawford's evaluation criteria, there were 24 (73%) excellent, 7 (21%) good, and 2 (6%) fair results. Three patients showed radiological signs of mild degenerative changes, which did not limit their daily activities. Nail ridging occurred in 3 cases (9%), which disappeared after an average of 6 months with normal growth, and mild scarring at the dorsal pin site occurred in 2 cases (6%). Modified extension-block K-wires with a transarticular K-wire fixation technique is an acceptable alternative treatment modality for the management of bony mallet finger deformities with or without subluxation of the distal phalanx.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Oct
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| pubmed:issn |
1938-2367
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| pubmed:author | |
| pubmed:copyrightInfo |
Copyright 2010, SLACK Incorporated.
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| pubmed:issnType |
Electronic
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| pubmed:volume |
33
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
728
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| pubmed:meshHeading |
pubmed-meshheading:20954665-Adolescent,
pubmed-meshheading:20954665-Adult,
pubmed-meshheading:20954665-Bone Wires,
pubmed-meshheading:20954665-Female,
pubmed-meshheading:20954665-Finger Injuries,
pubmed-meshheading:20954665-Finger Joint,
pubmed-meshheading:20954665-Fracture Fixation, Internal,
pubmed-meshheading:20954665-Hand Deformities, Acquired,
pubmed-meshheading:20954665-Humans,
pubmed-meshheading:20954665-Male,
pubmed-meshheading:20954665-Middle Aged,
pubmed-meshheading:20954665-Range of Motion, Articular,
pubmed-meshheading:20954665-Recovery of Function,
pubmed-meshheading:20954665-Young Adult
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| pubmed:year |
2010
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| pubmed:articleTitle |
Modified extension-block K-wire fixation technique for the treatment of bony mallet finger.
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| pubmed:affiliation |
Department of Orthopedic Surgery, Eulji University College of Medicine, 1306 Dunsan-dong, Seo-gu, Daejeon 302-799, Korea. sklee@ eulji.ac.kr
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| pubmed:publicationType |
Journal Article
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