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.
Primary Language | English |
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Subjects | Health Care Administration |
Journal Section | Surgical Science Research Articles |
Authors | |
Publication Date | June 30, 2019 |
Acceptance Date | June 26, 2019 |
Published in Issue | Year 2019Volume: 41 Issue: 2 |