Derotation of the mallet piece: A crucial point in mallet fracture surgery
| Autor: | Ersin Tasatan, Ali Cagri Tekin, Cem Dinçay Büyükkurt, Bulent Karslioglu, C. Tetik, Metin Uzun |
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| Rok vydání: | 2018 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry Bony union Rehabilitation 030230 surgery Phalanx medicine.disease Tendon Surgery Avulsion 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Orthopedic surgery medicine Orthopedics and Sports Medicine Malunion business Crucial point Mallet |
| Zdroj: | Hand Surgery and Rehabilitation. 37:202-205 |
| ISSN: | 2468-1229 |
| DOI: | 10.1016/j.hansur.2018.03.004 |
| Popis: | Mallet fracture is an avulsion of the extensor tendon and fracture of the dorsal rim of the articular surface of distal phalanx at the same time. If a part of the mallet fracture is angled or rotated to such a degree that prevents full anatomic reduction, malunion and deformities may occur as a result. The objective of this study was to describe a new surgical technique to provide derotation of the mallet fracture. A 22G or 21G needle is used like a joystick to reduce the mallet fracture with small, gentle movements. The extension block pinning technique described by Ishiguro was applied after proper alignment had been achieved. Bony union was achieved for all patients 6 weeks later. Derotation of type 2 and 3 mallet pieces with closed reduction to prevent surgical failure is simple but effective. |
| Databáze: | OpenAIRE |
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