Surgical treatment of mallet fractures by extension block Kirschner wire technique surgical treatment of mallet fractures
نویسندگان
چکیده
OBJECTIVE We use the extension block Kirschner wire method that orginated from Ishigura to treat mallet fracture and evaluate its efficiency. METHODS 38 patients were treated prospectively. Mean follow-up was 18 months and all patients evaluated radiologically and clinically according to Crawford's criteria. RESULTS Union was obtained in all patients. The results obtained were satisfactory in 34 cases, unsatisfactory 4 cases. CONCLUSION We think that extension block technique is a safe and effective method that can be used in all mallet fractures. LEVEL OF EVIDENCE Level IV, Case series .
منابع مشابه
Extension block pining for treatment of bony mallet finger
Abstract Background: The goal of this report is to show our results with extension block technique for treatment of mallet fracture. The indications for this technique were the presence of a large bone fragment, and palmar subluxation. Methods: We retrospectively assessed the results of treatment in 14 mallet fractures which have been treated by extension block technique to determine the ra...
متن کاملTwo extension block Kirschner wire technique for mallet finger fractures.
We treated 32 displaced mallet finger fractures by a two extension block Kirschner-wire technique. The clinical and radiological outcomes were evaluated at a mean follow-up of 49 months (25 to 84). The mean joint surface involvement was 38.4% (33% to 50%) and 18 patients (56%) had accompanying joint subluxation. All 32 fractures united with a mean time to union of 6.2 weeks (5.1 to 8.2). Congru...
متن کاملThe Ishiguro extension block technique for the treatment of mallet finger fracture: indications and clinical results.
The results of extension block Kirschner wire fixation for the treatment of mallet fractures of the distal phalanx were retrospectively assessed in 65 consecutive patients. The indications for this technique were the presence of a large bone fragment, and palmar subluxation or the loss of joint congruity of the distal interphalangeal joint. Using the Wehbé and Scheider classification there were...
متن کاملClosed Extension-Block Pinning for Management of Mallet Fracture – A Case Report Based Description
INTRODUCTION Close reduction by extension-block K-wire fixation for acute mallet fracture is based on two sound orthopedic principles - stable arc splinting and early protected motion. Distal interphalangeal joint splinting is still the technique commonly used for mallet fractures with significant morbidity and only moderate functional outcome. CASE REPORT We have demonstrated here Ishiguro's...
متن کاملA novel closed reduction with extension block and flexion block using Kirschner wires and microscrew fixation for mallet fractures
BACKGROUND Some patients with mallet fractures who undergo extension block pinning complain of exposed wires, which delay their return to sports and causes inconvenience while performing tasks that require the use of hands during the early postoperative period. The purpose of this retrospective study was to present and evaluate a novel surgical procedure for mallet fractures. METHODS We treat...
متن کامل