Die Versorgung der dorsalen Endphalanxbasisfraktur der Langfinger mittels Hakenplatte

Szalay, Gabor; Schleicher, I.; Schiefer, U; Alt, Volker; Schnettler, Reinhard

doi:10.1007/s00064-010-0008-4

Cited by 8 publications

(6 citation statements)

References 27 publications

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“…Unfortunately, the few studies published deal only with a small number of patients, i.e., n = 9 [ 2 ] or n = 13 [ 30 ]. Szalay et al [ 17 ] were the first with a higher number of 59 patients. In their study, nail deformity occurred in 12% using the Stryker hook plate.…”

Section: Discussionmentioning

confidence: 99%

“…In conclusion, the hook plate is a reliable and safe method for treatment of bony avulsion fractures of the distal phalanx as several authors have shown before. Concerning the subjective satisfaction of the patient, the results [ 2 , 17 , 30 ] are good to excellent with only two deficits, which are the cosmetic outcome and the nail deformity. Patients should be informed about this during the informative conversation before giving their informed consent.…”

Section: Discussionmentioning

confidence: 99%

“…These are for example k-wire fixation [ 3 ], percutaneous extension block wiring [ 4 , 5 ], screw osteosynthesis [ 6 ], compression pins [ 7 ], pull-through wires, figure of eight wiring [ 8 , 9 ], tension band wiring [ 8 , 10 , 11 ], and umbrella handle k-wire fixation [ 12 , 13 ]. However, these methods achieve only poor reduction and are associated with unsatisfactory outcomes and several complications [ 2 , 17 ]. Temporary k-wire arthrodesis of the DIP, for example, increases the risk of DIP arthrosis and cartilage injury due to drilling heat and the damage done by the k-wiring.…”

Section: Introductionmentioning

confidence: 99%

“…However, small fragment are often fractured by the microscrew which makes a fixation impossible. Therefore, the hook plate has been developed [ 2 , 17 ]. The first results of hook plate fixation for mallet fractures/Doyle IVc published seem promising [ 17 , 19 ] (Fig.…”

Section: Introductionmentioning

confidence: 99%

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Patient satisfaction after hook plate treatment of bony avulsion fracture of the distal phalanges

et al. 2018

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BackgroundBony avulsion fractures of the distal phalanges can result in mallet finger deformity if not treated appropriately. Therefore, only minimally displaced fractures can be treated conservatively with a good outcome, as dislocation occurs very often. Several surgical treatment options have been developed during the past decades. Data concerning the recently developed hook plate are promising. So far, no data concerning the subjective satisfaction with this method have been published. Therefore, we have analyzed the outcome after hook plate implantation using a self-assessment score, which focuses also on subjective parameters and satisfaction.MethodsStandardized questionnaires (self-assessment scores and SF-36 questionnaire) were sent to each patient treated with a hook plate due to fracture of the distal phalanx, type Doyle IVb and IVc. Clinical data were evaluated according to the medical record. Scores given per question range from 0 to 10, 10 is the worst and 0 the best outcome.ResultsFrom 69 patients treated, 38 (58%) were enrolled. The whole collective (n = 38) reached a score of 39.7 ± 28.7 points, while men had slightly better results. Men (n = 24) achieved 37.3 ± 27.9 points, women (n = 14) 43.9 ± 30.7 points. Women had significantly better results when analyzed later than 12 months after surgery (52.1 ± 27.9 vs. 29.1 ± 32.8), whereas no changes could be detected in the male group (37.1 ± 29.9 vs. 37.4 ± 27.6). Overall, men were slightly more satisfied than women. Most satisfaction was found regarding pain and fine motor skills (0–0.46 points). Esthetic aspect and nail deformities (3.65 points average) led to the highest dissatisfaction. No differences in the SF 36 score could be detected.ConclusionsThe hook plate is not only a convenient method but it also results in high patient satisfaction. Nail deformities are challenging; however, with increasing experience of the surgeon they decrease. SF 36 score is not an appropriate testing tool for this problem.Electronic supplementary materialThe online version of this article (10.1186/s40001-018-0332-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patient satisfaction after hook plate treatment of bony avulsion fracture of the distal phalanges

et al. 2018

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“…Other disadvantages of open surgery include the skin necrosis caused by skin irritation by the implant, exposing of the implant and nail deformities (1,26). Although this is a common complication in cases with tendinous mallet, there is no sufficient data following soft tissue repair.…”

Section: /mentioning

confidence: 99%

The Evaluation of Results of Repair using All-Soft Suture Anchor in the Treatment of Chronic Tendinous Mallet Finger Surgery

Gülenç¹,

Öç²,

Yalcin³

et al. 2020

ACHOT

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PURPOSE OF THE STUDYThe purpose of this study is to evaluate the results of chronic tendinous mallet finger repair with all soft suture anchors. MATERIAL AND METHODSIn this retrospective study we evaluated 14 patients. Data included age, side of surgery, the degree of extensor lag, the ratio of the damaged articular surface, postoperative recovery period and time to return to work. We recorded extensor lag and Crawford scores of all patients at the last follow-up. RESULTSMean follow-up period was 22.07 months. The preoperative and postoperative extensor lags were 27.2 (15-35) and 3 (0-19), respectively. Crawford scores of patients were moderate in 1 patient, fair in 2 patients and excellent in 10 patients. We observed only one skin complication in the postoperative period. CONCLUSIONSAll-soft suture anchors have high patient satisfaction rates and functional results. Thus, they could be used in the treatment of patients with chronic tendinous mallet finger. The low complication rate is a major advantage.

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

Stumpfe,

Suffa,

Merkel

et al. 2023

Arch Orthop Trauma Surg

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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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Die Versorgung der dorsalen Endphalanxbasisfraktur der Langfinger mittels Hakenplatte

Cited by 8 publications

References 27 publications

Patient satisfaction after hook plate treatment of bony avulsion fracture of the distal phalanges

Patient satisfaction after hook plate treatment of bony avulsion fracture of the distal phalanges

The Evaluation of Results of Repair using All-Soft Suture Anchor in the Treatment of Chronic Tendinous Mallet Finger Surgery

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

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