scholarly journals Treatment of Bony Mallet Finger with Hook Plate.

2014 ◽  
pp. 1
Author(s):  
Mehmet Acar ◽  
Ali Gulec ◽  
Bahattin Aydin ◽  
Mehmet Sahin
Keyword(s):  
2017 ◽  
Vol 5 (2) ◽  
pp. 68-73
Author(s):  
Gokcer UZER ◽  
Fatih YILDIZ ◽  
Mehmet KAPICIOGLU ◽  
Mehmet ELMADAG ◽  
Deniz KARA ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Wei-Chih Wang ◽  
Cheng-En Hsu ◽  
Chen-Wei Yeh ◽  
Tsung-Yu Ho ◽  
Yung-Cheng Chiu

Abstract Background The treatment of mallet fracture using hook plate fixation was first introduced in 2007 and has subsequently shown excellent outcomes. Common complications, such as nail deformity and screw loosening, have also been reported. Very few studies have focused on these common complications or their prevention. In this study, we present the clinical outcomes and complications of our case series and describe the pitfalls and detailed solution of surgical tips to avoid common complications related to this procedure. Methods The retrospective case series of 16 patients with mallet fractures who underwent open reduction and hook plate fixation in our hospital from 2015 to 2020 were retrospectively reviewed. Data on extension lag, range-of-motion (ROM) of the distal interphalangeal joint (DIP) joint, the Disabilities of the Arm, Shoulder, and Hand (DASH) score, and surgical complications were collected and analysed. The clinical outcome was graded according to the Crawford mallet finger criteria. Results Sixteen patients were included in our analysis. The median DIP extension lag was 0° (range, 0° to 30°) and the median active DIP flexion angle was 60° (range, 40° to 90°). The median DASH score was 0 (range, 0–11.3). Fourteen patients with good and excellent results were satisfied with this treatment. The Complication rate in our patient series was 18%. Common complications reported in articles included wound necrosis, extension lag, nail deformity, and plate loosening. Conclusions Despite the fact that the treatment of mallet fracture with hook plate fixation has satisfactory functional outcomes, pitfalls, including iatrogenic nail germinal matrix injury, unnecessary soft tissue dissection, and insufficient screw purchase, were still reported. To avoid complications, we suggest modifications of the skin incision, soft tissue dissection, and screw position.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jung Il Lee ◽  
Ki-Chul Park ◽  
Hyun Soo So ◽  
Duk Hee Lee

Abstract Background Mini-hook plate has been described for the treatment of various small avulsion fragments in the hand. This retrospective study aimed to evaluate clinical outcomes after mini-hook plate fixation in patients with an avulsion fracture around the interphalangeal or metacarpophalangeal joints of the hand. Methods Nineteen patients with avulsion fractures around the interphalangeal or metacarpophalangeal joints of the hand were included in this study. Seven patients had a mallet fracture, and 12 patients had other phalangeal avulsion fractures including central slip, collateral ligament, volar plate, and flexor avulsion fractures. The osseous union and functional outcomes, including finger joint motion, joint stability, pinching strength, and the disabilities of the arm, shoulder, and hand score, were evaluated. Results The mean duration of follow-up was 33.8 months. All patients in mallet and other phalangeal avulsion fractures achieved osseous union between the avulsion fragment and phalangeal bone, and there was no joint subluxation. There were no significant differences in the disabilities of the arm, shoulder, and hand scores. However, the patients with mallet fracture have lower mean percentage values of the total active range of motion and pinching strength than other phalangeal avulsion fractures. We abandoned this procedure in mallet fractures because the early results after mini-hook plate fixation in mallet fractures appeared unfavorable. Conclusion These results suggest that the mini-hook plate fixation can provide sufficient stability and good clinical outcomes in those with phalangeal avulsion fractures. However, the outcomes for mallet fractures were not as good as those for other phalangeal avulsion fractures.


2012 ◽  
Vol 37 (1) ◽  
pp. 77-82 ◽  
Author(s):  
Justus Gille ◽  
Gerhard Heinrichs ◽  
Andreas Unger ◽  
Helge Riepenhof ◽  
Jan Herzog ◽  
...  

1988 ◽  
Vol 13 (2) ◽  
pp. 154-155
Author(s):  
C. HOVGAARD ◽  
B. KLARESKOV

A prospective trial of mallet-finger injuries treated conservatively by elastic double-finger bandage showed no disadvantages compared to other kinds of conservative treatment. The method is agreeable for the patient, being hygienic and causing no kind of skin irritation.


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