RESUMO
OBJECTIVE: We use the extension block Kirschner wire method that orginated from Ishigura to treat mallet fracture and evaluate its efficiency. METHODS: 38 patients were treated prospectively. Mean follow-up was 18 months and all patients evaluated radiologically and clinically according to Crawford's criteria. RESULTS: Union was obtained in all patients. The results obtained were satisfactory in 34 cases, unsatisfactory 4 cases. CONCLUSION: We think that extension block technique is a safe and effective method that can be used in all mallet fractures. LEVEL OF EVIDENCE: Level IV, Case series .
RESUMO
OBJETIVO: Avaliar a eficácia do tratamento da fratura em martelo, pelo método de Ishiguro de bloqueio de extensão com fio de Kirschner. MÉTODOS: Trinta e oito pacientes foram tratados prospectivamente. O acompanhamento médio foi 18 meses e todos os pacientes foram avaliados radiológica e clinicamente, de acordo com os critérios de Crawford. RESULTADOS: A união da fratura foi obtida em todos os pacientes. Os resultados alcançados foram satisfatórios em 34 casos e não satisfatórios em quatro casos. CONCLUSÃO: Consideramos que a técnica de bloqueio de extensão é segura e eficaz e pode ser usada em todas as fraturas em martelo. Nível de Evidência IV, Série de Casos.
OBJECTIVE: We use the extension block Kirschner wire method that orginated from Ishigura to treat mallet fracture and evaluate its efficiency. METHODS: 38 patients were treated prospectively. Mean follow-up was 18 months and all patients evaluated radiologically and clinically according to Crawford's criteria. RESULTS: Union was obtained in all patients. The results obtained were satisfactory in 34 cases, unsatisfactory 4 cases. CONCLUSION: We think that extension block technique is a safe and effective method that can be used in all mallet fractures. Level of Evidence: Level IV, Case series.