Repair of the central slip of extensor tendon and the open mallet using Mitek mini bone anchors

Mehdi, Syed Yawar; Masood, Quratulain Fatima; Lawlor, D.; Eadie, Patricia

doi:10.1007/s00238-010-0440-6

Cited by 6 publications

(4 citation statements)

References 23 publications

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“…Mehdi et al. 8 have described a technique of Mitek™ repair of CS injuries with the use of trans-articular K-wires for joint immobilization with a single trans-articular K-wire and splinting for 2 weeks followed by gradual active and passive mobilization exercises. They achieved good to excellent outcomes in eight patients with a ROM outcome (%) ranging from 100% to 50% in this cohort.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical techniques described involve direct repair of CS, use of bone anchors, tendon grafts, and bone tunneled suturing of the CS, among other techniques. 2 , 8 , 9 Post-operative external splinting is indicated to immobilize the PIPJ once surgical repair of CS is performed. 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.…”

Section: Introductionmentioning

confidence: 99%

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Central Slip Repair using Trans-articular K-wires: A Comparative Study.

et al. 2023

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Central Slip Repair using Trans-articular K-wires: A Comparative Study.

et al. 2023

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“…The primary reason for this is the observed long-term side effects of surgical intervention, including infection, joint misalignment, nail abnormalities (Auchincloss, 1982) residual extension lag and osteomyelitis (Kang et al, 2001). Conservative therapy is still strongly supported and highly controversial despite recent improvements in surgical techniques and favorable results (Rocchi et al, 2006;Mehdi et al, 2011). Depending on the severity of the damage and how long it has been since the accident before the presentation, non-operative with extended splinting for the treatment of the mallet finger and immobilization to open reduction and rigid fixation (Freshwater, 2014;Cheung et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Implementation of physiotherapeutic strategies to prevent the deconditioning effects and hindrance in the fine motor functions followed by Mallet finger: A case report

Sheikh¹,

Dhage²,

Deshmukh³

2023

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38% of all upper extremity injuries that patients arrive in emergency rooms are fingertip injuries, according to statistics. When the extensor tendon on the dorsal surface of the hand's distal phalanges is injured, one of the most common injuries the mallet finger occurs. It is common to sustain a mallet finger. This case report's objective is to provide a summary of the mallet injury and potential side effects. Complications must be identified, diagnosed and managed promptly to be avoided. The Symptoms, diagnosis and treatment of mallet finger injuries are all briefly covered in this case report. This case study demonstrates the critical function of physiotherapy in the recovery of a mallet finger patient by improving strength, ROM and ADL. Physical exercise and a rehabilitation protocol significantly improved outcome measure. Conclusion: During the DIPJ immobilization period, range-of-motion exercises for proximal joints and unaffected joints were useful. Ultrasound, Active range of motion exercises, grip strengthening exercises and Home exercise programs and Supplemental interventions may include counselling and informational sessions on the condition. According to our study, Physiotherapy treatment can improve the condition and increase the range of the DIPJ.

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“…5,7,8 This is mainly due to reported long-term complications associated with surgical intervention such as infection, joint incongruency and nail deformities. 9,10 Despite favourable outcomes with recent advancements in surgical techniques, 11,12 conservative management continues to be widely advocated and debated. Long-term outcomes are successful with regards to patient satisfaction and correction of DIPJ extension lag.…”

Section: Introductionmentioning

confidence: 99%

How do hand therapists conservatively manage acute, closed mallet finger? A survey of members of the British Association of Hand Therapists

2016

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Introduction: Previous research concerning the conservative management of mallet finger has focused on splint application, with limited representation of supplementary rehabilitation and best practice. This research sought to investigate the practice and opinions of members of the British Association of Hand Therapists regarding their current treatment and to determine whether any specific exercise prescription or rehabilitation protocols are followed. Methods: British Association of Hand Therapists members were contacted via e-mail and requested to complete an online survey. Thirty-five responses (5.7% response rate), 30 (4.8% response rate) of which were fully completed were obtained over the eight-week data collection period. The questionnaire consisted of 30 questions (20 quantitative and 10 qualitative) concerning therapists' roles and condition management. Responses were analysed in terms of response frequencies, percentages and thematic text analysis. Results: The results demonstrated current clinical practices in line with available best-evidenced practice. Conservative therapeutic management is diverse and varied. Therapists believe their role to be significant in optimising outcome success. Discussion: Exercises and other interventions supplementary to splinting are commonly utilised in the therapeutic management of acute, closed mallet finger. This research found hand therapists implement a diverse range of clinical skills in order to optimise outcome success. Recommendations for best practice and further research are presented.

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Repair of the central slip of extensor tendon and the open mallet using Mitek mini bone anchors

Cited by 6 publications

References 23 publications

Central Slip Repair using Trans-articular K-wires: A Comparative Study.

Central Slip Repair using Trans-articular K-wires: A Comparative Study.

Implementation of physiotherapeutic strategies to prevent the deconditioning effects and hindrance in the fine motor functions followed by Mallet finger: A case report

How do hand therapists conservatively manage acute, closed mallet finger? A survey of members of the British Association of Hand Therapists

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