The results of delayed open reduction and internal fixation in chronic bony mallet finger injuries
| Autor: | Yalcin Ademoglu, Tugrul Yildirim, Özgün Barış Güntürk, Tahir Sadık Sügün, Kemal Ozaksar, Murat Kayalar |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Bony mallet finger medicine.medical_treatment Fracture Fixation Internal Young Adult Mallet finger Finger Injuries Hand Deformities Acquired medicine Humans Internal fixation Orthopedics and Sports Medicine Kirschner wire Reduction (orthopedic surgery) Wehbé-Schneider classification Retrospective Studies Fixation (histology) Ishiguro technique business.industry Bone union Rehabilitation medicine.disease Surgery hook plate distal interphalangeal joint luxation Original Article Female Range of motion business Complication Bone Wires |
| Zdroj: | Joint Diseases and Related Surgery |
| ISSN: | 2687-4792 2687-4784 |
| DOI: | 10.52312/jdrs.2021.240 |
| Popis: | OBJECTIVES The aim of this study was to evaluate the functional results of delayed open reduction and Kirschner wire (K-wire) fixation procedures in patients with delayed presentation of bony mallet finger. PATIENTS AND METHODS Between February 2009 and November 2019, a total of 19 patients (15 males, 4 females; median age: 24.8 years; range, 14 to 47 years) who were diagnosed with a delayed bony mallet finger and treated with dorsal block pin, direct pinning, or the umbrella handle technique were retrospectively analyzed. The Crawford criteria were used to evaluate the outcomes. The degrees of range of motion (ROM) were measured by a goniometer. RESULTS The median time from injury to surgery was 41 (range, 28 to 90) days. The median DIP joint extension limitation was 7.63 (range, 0 to 40) degrees and the median ROM of the DIP joint was 66.3 (range, 20 to 90) degrees. There was no statistically significant difference in the postoperative ROM, compared to the uninjured side (p>0.05). The Crawford score was excellent in 11, good in four, fair in three, and poor in one patient. Bone union was achieved in all patients. CONCLUSION Delayed open reduction and K-wire fixation of chronic bony mallet finger injuries yield successful functional outcomes with low complication rates. Extension lag can be eliminated in most patients by making the joint surface anatomical. The most optimal method should be selected depending on the size of the fracture fragment. |
| Databáze: | OpenAIRE |
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