Internal Splint for Closed and Open Treatment of Injuries of the Extensor Tendon at the Distal Joint of the Finger

Pratt, Donald R.

doi:10.2106/00004623-195234040-00004

Cited by 50 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6,9 In addition, complications of open surgery may occur, including early avascular necrosis, nail growth deformities, soft tissue scar formation, infection, implant failure, and subsequent joint stiffness. 13 To reduce the complications associated with open fixation, closed percutaneous fixation was developed. 14,15 Ishiguro et al 16 proposed a method of closed reduction with an extension block and fixation of the distal interphalangeal joint with Kwires.…”

Section: Discussionmentioning

confidence: 99%

The “Fish Hook” Technique for Bony Mallet Finger

Kim¹,

Kang²,

Choi³

2016

Orthopedics

View full text Add to dashboard Cite

This study describes a new technique called the "fish hook" technique for the treatment of bony mallet finger. This technique catches the dorsal fragment with a bent K-wire shaped like a fish hook. Transarticular fixation is performed with another K-wire. This technique does not directly penetrate the bone fragment to prevent fragment comminution. This study included 26 patients with mallet finger fractures who underwent surgery using the fish hook technique between 2010 and 2014. The fractures were classified according to the method of Wehbe and Schneider. The fracture fragment was fixed with a fish hook technique in all patients. The K-wire was removed after 6 weeks, when bone union was achieved. Clinical parameters, including range of motion and extensor lag, were assessed at the distal interphalangeal joint according to Crawford's criteria. The mean follow-up period was 12.8 months. Mean extensor lag was 3°, and mean range of flexion of the distal interphalangeal joint was 76°. All patients achieved bone union after 6 weeks. According to Crawford's criteria, there were 20 excellent results, 5 good results, and 1 fair result. No complications, including skin necrosis, pin loosening, and nail deformity, occurred. The fish hook technique is an effective treatment option for bony mallet finger and provides good clinical and radiologic results. [Orthopedics.2016; 39(5):295-298.].

show abstract

Section: Discussionmentioning

confidence: 99%

The “Fish Hook” Technique for Bony Mallet Finger

Kim¹,

Kang²,

Choi³

2016

Orthopedics

View full text Add to dashboard Cite

show abstract

“… 7 The concept of “internal splinting” was first described by Pratt, where a longitudinal K-wire was placed along the length of the finger to immobilize the digit following an extensor tendon repair. 10 This technique has been refined to the use of shorter K-wires traversing only one joint to immobilize it following repair. This technique, which involves immobilizing the PIPJ in extension allowing the CS to heal prior to active mobilization and rehab, is favored by some surgeons.…”

Section: Introductionmentioning

confidence: 99%