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

Stumpfe M, Suffa N, Merkel P, Ludolph I, Arkudas A, Horch RE (2024)

Publication Language: English

Publication Type: Journal article

Publication year: 2024

Journal

Archives of Orthopaedic and Trauma Surgery Springer Verlag (Germany)

Book Volume: 144

Pages Range: 1437-1442

Journal Issue: 3

DOI: 10.1007/s00402-023-05119-y

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.

Authors with CRIS profile

Maximilian Stumpfe Department of Plastic and Hand Surgery Pauline Merkel Professur für Plastische Chirurgie und Handchirurgie Ingo Ludolph Department of Plastic and Hand Surgery Andreas Arkudas Professur für Plastische Chirurgie und Handchirurgie Raymund Horch Professur für Plastische Chirurgie und Handchirurgie

How to cite

APA:

Stumpfe, M., Suffa, N., Merkel, P., Ludolph, I., Arkudas, A., & Horch, R.E. (2024). Quick and safe: why a k-wire-extension-block-fixation of a bony mallet finger is the favoured treatment. Archives of Orthopaedic and Trauma Surgery, 144(3), 1437-1442. https://doi.org/10.1007/s00402-023-05119-y

MLA:

Stumpfe, Maximilian, et al. "Quick and safe: why a k-wire-extension-block-fixation of a bony mallet finger is the favoured treatment." Archives of Orthopaedic and Trauma Surgery 144.3 (2024): 1437-1442.

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