Research Article
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Year 2019, , 423 - 431, 30.06.2019
https://doi.org/10.7197/223.vi.494224

Abstract

References

  • 1. Bloom JM, Khouri JS, Hammert WC. Current concepts in the evaluation and treatment of mallet finger injury. Plast Reconstr Surg. 2013;132:560–566.
  • 2. Ulusoy MG, Karalezli N, Kocer U, et al. Pull-in suture technique for the treatment of mallet finger. Plast Reconstr Surg. 2006;118:696–702.
  • 3. Doyle JR. Extensor tendons-acute injuries. In: Green DP, Hotchkiss RN, Pederson WC, editors. Operative hand surgery. 4th ed. New York: Churchill Livingstone; 1999. p. 1950–87.
  • 4. Ulkur E, Acikel C, Ergun O, Celikoz B. Repair of chronic mallet finger deformityusing Mitek micro arc bone anchor. Ann Plast Surg. 2005;54:393–396.
  • 5. Lu J, Jiang J, Xu L, Xu W, Xu J. Modification of the pull-in suture technique for mallet finger. Ann Plast Surg. 2013;70:30–33.
  • 6. Altan E, Alp NB, Baser R, Yalçın L. Soft-Tissue Mallet Injuries: A Comparison of Early and Delayed Treatment. J Hand Surg Am. 2014;39:1982–1985.
  • 7. Gruber JS, Bot AG, Ring D. A prospective randomized controlled trial comparing night splinting with no splinting after treatment of mallet finger. Hand NY. 2014;9:145–150.
  • 8. Georgescu AV, Capota IM, Matei IR. A new surgical treatment for mallet finger deformity: deepithelialised pedicled skin flap technique. Injury 2013;44:351–355.
  • 9. Nakamura K, Nanjo B. Reassessment of surgery for mallet fracture. Plast reconstr surg. 1994;93:141–149.
  • 10. Süren M, Okan I, Gökbakan AM, et al. Factors associated with the pain catastrophizing scale and validation in a sample of the Turkish population. Turk J Med Sci. 2014;44:104–108.
  • 11. Katz J, Melzack R. Measurement of pain. Surg Clin North Am. 1999;79:231–252.
  • 12. Crawford GP. The molded polythene splint for mallet finger deformities. J Hand Surg. 1984;9:231–237.
  • 13. Acar MA, Güzel Y, Güleç A, Uzer G, Elmadağ M. Clinical comparison of hook plate fixation versus extension block pinning for bony mallet finger: a retrospective comparison study. J Hand Surg Eur Vol. 2015;40:832–839.
  • 14. Handoll HH, Vaghela MV. Interventions for treating mallet finger injuries. Cochrane Database Syst Rev. 2004;3:CD004574.
  • 15. Kalainov DM, Hoepfner PE, Hartigan BJ, Carroll C 4th, Genuario J. Nonsurgical treatment of closed mallet finger fractures. J Hand Surg Am. 2005;30:580–586.
  • 16. Garberman SF, Diao E, Peimer CA. Mallet finger: results of early versus delayed closed treatment. J Hand Surg Am. 1994;19:850–852.
  • 17. Shimura H, Wakabayashi Y, Nimura A. A novel closed reduction with extension block and flexion block using Kirschner wires and microscrew fixation for mallet fractures. J Orthop Sci. 2014;19:308–312.
  • 18. Stern PJ, Kastrup JJ. Complications and prognosis oftreatment ofmallet finger. JHand Surg Am. 1988;13:329–334.
  • 19. Kang HJ, Shin SJ, Kang ES. Complication of operative treatment for mallet fractures of the distal phalanx. J Hand Surg Am. 2001;26:28–31.

Pull-out suture technique and micro-bone anchor fixation: A comparison of two methods in the treatment of nonosseous mallet finger injuries

Year 2019, , 423 - 431, 30.06.2019
https://doi.org/10.7197/223.vi.494224

Abstract

Objective: Mallet finger is a
flexion deformity that results from injury to the extensor mechanism at the
base of the distal phalanx. It can involve either a bony avulsion injury of the
distal phalanx or a rupture of the extensor tendon with no bony involvement.

The aim of this study
was to compared the surgical and clinical outcomes of patients who underwent
the pull-out suture technique
versus micro-bone anchor fixation of non-osseous
mallet finger.

Method: A retrospective
analysis of 56 patients between 2011 and 2016 was conducted. Patients were
separated into two groups according to surgical technique, Group 1 (pull-out
suture technique ) including 23 patients and Group 2 (micro-bone anchor
fixation ) including 33 patients. The Quick Disabilities of the Arm, Shoulder,
and Hand (Q-DASH) score, pain catastrophizing scale (PCS), visual analogue
scale (VAS) pain score, and time to return to work were assessed. The
Crawford’s criteria was used to evaluate the functional results.

Results: No significant
difference was observed in Crawford classification and pain score between the
groups , whereas the Q-DASH score and the time to return to daily activities were
significantly different in the micro-bone anchor fixation group.









Conclusions: Both techniques are
effective operative treatment options for non-osseous mallet finger. However,
compared with the pull-out suture technique, micro-bone anchor fixation
provides better results in terms of some clinical parameters.

References

  • 1. Bloom JM, Khouri JS, Hammert WC. Current concepts in the evaluation and treatment of mallet finger injury. Plast Reconstr Surg. 2013;132:560–566.
  • 2. Ulusoy MG, Karalezli N, Kocer U, et al. Pull-in suture technique for the treatment of mallet finger. Plast Reconstr Surg. 2006;118:696–702.
  • 3. Doyle JR. Extensor tendons-acute injuries. In: Green DP, Hotchkiss RN, Pederson WC, editors. Operative hand surgery. 4th ed. New York: Churchill Livingstone; 1999. p. 1950–87.
  • 4. Ulkur E, Acikel C, Ergun O, Celikoz B. Repair of chronic mallet finger deformityusing Mitek micro arc bone anchor. Ann Plast Surg. 2005;54:393–396.
  • 5. Lu J, Jiang J, Xu L, Xu W, Xu J. Modification of the pull-in suture technique for mallet finger. Ann Plast Surg. 2013;70:30–33.
  • 6. Altan E, Alp NB, Baser R, Yalçın L. Soft-Tissue Mallet Injuries: A Comparison of Early and Delayed Treatment. J Hand Surg Am. 2014;39:1982–1985.
  • 7. Gruber JS, Bot AG, Ring D. A prospective randomized controlled trial comparing night splinting with no splinting after treatment of mallet finger. Hand NY. 2014;9:145–150.
  • 8. Georgescu AV, Capota IM, Matei IR. A new surgical treatment for mallet finger deformity: deepithelialised pedicled skin flap technique. Injury 2013;44:351–355.
  • 9. Nakamura K, Nanjo B. Reassessment of surgery for mallet fracture. Plast reconstr surg. 1994;93:141–149.
  • 10. Süren M, Okan I, Gökbakan AM, et al. Factors associated with the pain catastrophizing scale and validation in a sample of the Turkish population. Turk J Med Sci. 2014;44:104–108.
  • 11. Katz J, Melzack R. Measurement of pain. Surg Clin North Am. 1999;79:231–252.
  • 12. Crawford GP. The molded polythene splint for mallet finger deformities. J Hand Surg. 1984;9:231–237.
  • 13. Acar MA, Güzel Y, Güleç A, Uzer G, Elmadağ M. Clinical comparison of hook plate fixation versus extension block pinning for bony mallet finger: a retrospective comparison study. J Hand Surg Eur Vol. 2015;40:832–839.
  • 14. Handoll HH, Vaghela MV. Interventions for treating mallet finger injuries. Cochrane Database Syst Rev. 2004;3:CD004574.
  • 15. Kalainov DM, Hoepfner PE, Hartigan BJ, Carroll C 4th, Genuario J. Nonsurgical treatment of closed mallet finger fractures. J Hand Surg Am. 2005;30:580–586.
  • 16. Garberman SF, Diao E, Peimer CA. Mallet finger: results of early versus delayed closed treatment. J Hand Surg Am. 1994;19:850–852.
  • 17. Shimura H, Wakabayashi Y, Nimura A. A novel closed reduction with extension block and flexion block using Kirschner wires and microscrew fixation for mallet fractures. J Orthop Sci. 2014;19:308–312.
  • 18. Stern PJ, Kastrup JJ. Complications and prognosis oftreatment ofmallet finger. JHand Surg Am. 1988;13:329–334.
  • 19. Kang HJ, Shin SJ, Kang ES. Complication of operative treatment for mallet fractures of the distal phalanx. J Hand Surg Am. 2001;26:28–31.
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Surgical Science Research Articles
Authors

Kaan Gürbüz

Publication Date June 30, 2019
Acceptance Date June 26, 2019
Published in Issue Year 2019

Cite

AMA Gürbüz K. Pull-out suture technique and micro-bone anchor fixation: A comparison of two methods in the treatment of nonosseous mallet finger injuries. CMJ. June 2019;41(2):423-431. doi:10.7197/223.vi.494224