A new surgical treatment for mallet finger deformity: deepithelialised pedicled skin flap technique
| Autor: | Alexandru Valentin Georgescu, Ileana Rodica Matei, Irina Capota |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
musculoskeletal diseases
Adult medicine.medical_specialty Adolescent medicine.medical_treatment Surgical Flaps Fracture Fixation Internal Mallet finger Tendon Injuries Finger Joint Fracture fixation Finger Injuries Hand Deformities Acquired Deformity medicine Humans Kirschner wire Range of Motion Articular General Environmental Science Hand deformity business.industry Recovery of Function Middle Aged medicine.disease Surgery body regions Radiography Splints Treatment Outcome General Earth and Planetary Sciences medicine.symptom business Splint (medicine) Range of motion Bone Wires |
| Zdroj: | Injury. 44(3) |
| ISSN: | 1879-0267 |
| Popis: | Introduction Mallet finger, well-known also as drop finger or baseball finger, is a frequent deformity after extensor tendons injury in the fingers. Although numerous nonoperative or operative techniques have been used in managing this deformity, the treatment still remains a debated subject. Patients and methods Starting from 1996, 121 fingers in 118 patients with neglected deformity or unsuccessful splinting older than 10 days underwent surgical treatment. In 101 patients a tendinous mallet finger was present, and in 20 patients a bony mallet finger. After immobilising the distal interphalangeal (DIP) joint at 0° extension with a Kirschner wire, the extensor tendon was repaired by using a dorsal deepithelialised skin flap reinserted transosseous. The DIP joint was immobilised for 6 weeks in a thermoplastic splint, and after that it was gradually weaned from the immobilisation. An overnight splint was used for 4–6 weeks after starting the mobilisation. Results The mean follow-up period was 10 months (range: 3–120 months). An excellent result in 89 fingers and a good result in 32 fingers were obtained, according to Crawford's evaluation criteria. Conclusion This method seems to be a new reliable alternative in the treatment of chronic mallet finger. |
| Databáze: | OpenAIRE |
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