Clinical comparison of hook plate fixation versus extension block pinning for bony mallet finger: a retrospective comparison study
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
SAGE PUBLICATIONS LTD
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
The aim of this retrospective study was to determine whether traumatic mallet fractures had better outcomes when treated by hook plate fixation (13 patients) or extension block pinning (19 patients). We assessed outcomes using Crawford's criteria; distal interphalangeal joint range of motion; the DASH score; and a visual analogue scale score for pain. We measured radiological parameters. No significant differences were observed in functional and clinical outcomes and in complications. Whereas the operative time was longer in the hook plate group, intraoperative fluoroscopy use, time to bone union and time to return to work were greater in the extension block group. Although the hook plate method is more technically demanding, it provides good stable reduction, earlier mobilization and an earlier return to work. The extension block pinning technique is easier and as effective but it requires greater peri-operative fluoroscopy.
Açıklama
Anahtar Kelimeler
Mallet, bony mallet finger, hook plate, nail deformity, extensor block pinning
Kaynak
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
WoS Q Değeri
Q2
Scopus Q Değeri
Q1
Cilt
40
Sayı
8
