Pull-in suture technique for the treatment of mallet finger

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dc.contributor.authorUlusoy, M. Gurhan
dc.contributor.authorKaralezli, Nazim
dc.contributor.authorKocer, Ugur
dc.contributor.authorUysal, Afsin
dc.contributor.authorKaraaslan, Onder
dc.contributor.authorKankaya, Yuksel
dc.contributor.authorAslan, Cafer
dc.date.accessioned2020-03-26T17:04:05Z
dc.date.available2020-03-26T17:04:05Z
dc.date.issued2006
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: Mallet finger deformity is a common disability that causes discomfort and inconvenience to the patient. Although numerous operative techniques have been described, surgical management remains controversial. Methods: Between 2002 and 2004, 19 patients with an unsuccessful splinting reg. imen history, chronic deformities of tendinous origin (> 3 months after the injury), or fractures involving 30 percent or more of the articular surface underwent surgical treatment. In 11 patients, chronic mallet finger deformity with tendinous origin was present, whereas eight patients presented with mallet fractures involving more than 30 percent of the articular surface. Open reduction with internal "pull-in" sutures and distal interphalangeal joint immobilization with Kirschner wire was accomplished. Active motions of the proximal interphalangeal and metacarpophalangeal joints were not restricted. After removal of the Kirschner wire at week 6, active flexion exercises were commenced immediately, and daily activities were not restricted. Full activity was allowed at day 7. Goniometric measurements, radiographs, and patient satisfaction were evaluated during the follow-up period. Results: The mean follow-up period of the patients was 16 months (range, 4 to 28 months). Mean extensor lag of the distal interphalangeal joint was 2 degrees (range, 0 to 6 degrees). The mean flexion of the distal interphalangeal joint was 74 degrees (range, 60 to 90 degrees). According to Crawford's evaluation criteria, 14 excellent and five good results were obtained. Apart from radiologically documented mild degenerative changes or joint narrowing in six patients, no complication was encountered. Conclusion: The pull-in technique allows accurate realignment of the tendon-bone unit without any specific instrumentation or intraoperative fluoroscopic imaging methods.en_US
dc.identifier.doi10.1097/01.prs.0000232983.23840.f2en_US
dc.identifier.endpage702en_US
dc.identifier.issn0032-1052en_US
dc.identifier.issue3en_US
dc.identifier.pmid16932181en_US
dc.identifier.startpage696en_US
dc.identifier.urihttps://dx.doi.org/10.1097/01.prs.0000232983.23840.f2
dc.identifier.urihttps://hdl.handle.net/20.500.12395/20628
dc.identifier.volume118en_US
dc.identifier.wosWOS:000240328600021en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofPLASTIC AND RECONSTRUCTIVE SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.titlePull-in suture technique for the treatment of mallet fingeren_US
dc.typeArticleen_US

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