“…Most surgeons recommend surgery for injuries involving more than one third of the articular surface and those with subluxation or displacement [20,21]. Regarding the bony mallet thumb injury, only few reports with a low level of evidence have been published using different surgical and nonoperative fixation methods (two extension block K-wires [25], a hook plate [27,36,40], a transverse mini-plate [42], biodegradable devices [1,28], an Ishiguro extension block technique [29], a direct K-wire pinning [9,33], compression fixation pins [43], an extension block pinning with direct pinning [13], a pull-out wire fixation [17,44], a screw fixation [2,8,12], tension band wiring [4], non-operative fixation [15], K-wire fixation with sutures [16] or K-wire, cast, splint, suture and screw fixation methods [31]).…”