Journal of Jilin University Medicine Edition ›› 2013, Vol. 39 ›› Issue (2): 371-374.doi: 10.7694/jldxyxb20130241
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AN Yang,WANG Zhen-xing,YUAN Sheng,ZHANG Yi-qun,ZHANG Ju
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Abstract: Abstract:Objective To explore the surgical method of bony mallet finger and to evaluate the clinical effect of fixed needle extrusion in treatment of bony mallet finger.Methods 28 patients with bony mallet finger were treated with kirschner needle extrusion to reset the fracture fragments and fix the fracture.The flexion or extension of distal interphalangeal joint (DIP),fracture healing and postoperative complications of the patients were observed.Results 27 patients were followed-up for 14 months.Crawford assessment standard was used to assess the efficacy.Before operation,the DIP extension limitation of 10 °-25 ° or obvious flexion obstacles existed in 8 cases (29.6%);the DIP extension limited by greater than 25 ° or the presence of persistent pain existed in 20 patients (70.4%).After operation,the fully active flexion and extension of DIP without pain in resting or action existed in 21 cases (77.8%);the full flexion of DIP,extension limitation from 0 ° to 10 °without pain in resting state existed in 6 cases (22.2%).All fractures in the patients healed,and the joint face apposition was good without osteomyelitis and wound complications such as infection,necrosis and recurrence of mallet finger deformity.Conclusion Kirschner needle extrusion fixation method for the treatment of bony mallet finger is a simple method with satisfatory curative effect.
Key words: finger injury, mallet finger, avulsion fracture, kirschner
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AN Yang,WANG Zhen-xing,YUAN Sheng,ZHANG Yi-qun,ZHANG Ju. Surgical method of fixed needle extrusiion in treatment of bony mallet finger and evaluation on curative effect[J].Journal of Jilin University Medicine Edition, 2013, 39(2): 371-374.
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URL: http://xuebao.jlu.edu.cn/yxb/EN/10.7694/jldxyxb20130241
http://xuebao.jlu.edu.cn/yxb/EN/Y2013/V39/I2/371
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