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Archives of Orthopaedic and Trauma Surgery

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Open Access 26-12-2023 | Extensor Tendon | Handsurgery

Quick and safe: why a k-wire-extension-block-fixation of a bony mallet finger is the favoured treatment

Authors: Maximilian C. Stumpfe, Nadine Suffa, Pauline Merkel, Ingo Ludolph, Andreas Arkudas, Raymund E. Horch

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 3/2024

Abstract

Introduction

Mallet fingers are the most common tendon injuries of the hand. Bony avulsion distal finger extensor tendon ruptures causing a mallet finger require special attention and management. In this monocentral study, we analyzed the clinical and individual outcomes succeeding minimal invasive k-wire extension block treatment of bony mallet fingers.

Materials and methods

In a retrospective study, we sent a self-designed template and a QUICK-DASH score questionnaire to all patients, who were treated because of a bony mallet finger between 2009 and 2022 and fulfilled the inclusion criteria. A total of 244 requests were sent out. 72 (29.5%) patients participated in the study. Forty-five men and twenty-seven women were included.

Results

98.7% (n = 75) of the cases were successfully treated. Patients were highly satisfied with the treatment (median 8.0; SD ± 2.9; range 1.0–10.0). Based on the QUICK-DASH score, all patients showed no difficulties in daily life. The extent of avulsion did not influence the outcome.

Conclusion

We conclude that the minimally invasive treatment of a bony mallet finger should be offered to every patient, because it is safe, fast, and reliable. Thus, we propose to perform extension-block pinning independently of the articular area.

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Title: Quick and safe: why a k-wire-extension-block-fixation of a bony mallet finger is the favoured treatment
Authors: Maximilian C. Stumpfe
Nadine Suffa
Pauline Merkel
Ingo Ludolph
Andreas Arkudas
Raymund E. Horch
Publication date: 26-12-2023
Publisher: Springer Berlin Heidelberg
Keyword: Extensor Tendon
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 3/2024
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-023-05119-y

ERS Congress 2024

Springer Medicine

Quick and safe: why a k-wire-extension-block-fixation of a bony mallet finger is the favoured treatment

Abstract

Introduction

Materials and methods

Results

Conclusion

ERS Congress 2024

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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