Transtendinous wiring of mallet finger fractures presenting late.
J Hand Surg Am
; 39(12): 2383-9, 2014 Dec.
Article
en En
| MEDLINE
| ID: mdl-25239049
ABSTRACT
PURPOSE:
To determine if transtendinous wiring was an effective late treatment for bony mallet injuries.METHODS:
Between 2005 and 2011, 19 consecutive patients (13 men, 6 women) with a mean age of 29 years (range, 13-52 y) were treated late for mallet finger fractures. The mean interval from injury to initial operation was 57 days (range, 28-141 d).RESULTS:
Fifteen of 18 mallet fractures demonstrated evidence of radiographic healing after an average of 6 weeks (range, 5-10 wk). One patient developed ankylosis, and 3 patients failed to achieve bone union at the final follow-up. The mean motion of the distal interphalangeal joint was 73° (range, 35°-95°), and the mean extension lag was 7° (range, 0°-25°).CONCLUSIONS:
Transtendinous wiring was an effective late treatment for mallet fractures, demonstrating satisfactory fixation, allowing early mobilization, and showing good functional results while avoiding salvage operations. TYPE OF STUDY/LEVEL OF EVIDENCE Therapeutic IV.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Hilos Ortopédicos
/
Fracturas Óseas
/
Traumatismos de los Dedos
/
Fijación Interna de Fracturas
Tipo de estudio:
Observational_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Hand Surg Am
Año:
2014
Tipo del documento:
Article
País de afiliación:
Corea del Sur