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Treatment of bony Mallet finger using threaded Kirschner wire

Berkan Mersa, Fatih Kabakaş, İsmail Bülent Özçelik, Meriç Uğurlar, İlker Sezer, Hüsrev Purisa.


Abstract
Objectives: The management of bony mallet fingers is controversial. This article describes the technique and outcome of using threaded Kirschner wire to treat mallet fractures involving more than one-third of the articular surface.
Methods: Forty-seven patients were operated on between April 2004 and February 2012. The average follow-up period was 19.6 (range: 8 to 44) months.
Results: According to the Crawford criteria, the results were excellent in 32 patients (69%), good in 12 patients (26%) and fair in 3 patients (6%). The mean range of motion was from 3º (extensor lag) (range: 0° to 15°) to 71º (range: 60° to 80°) flexion. As complications, five patients developed mild degenerative changes, three had pin tract infections, one had temporary nail ridging, and three had skin sloughing. None had persistent postoperative pain.
Conclusion: Threaded Kirschner wire achieved good reduction during surgery and maintained reduction postoperatively for six weeks in mallet fractures.

Key words: Mallet finger, distal phalanx fracture, threaded Kirschner wire

 

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How to Cite this Article
Pubmed Style

Mersa B, Kabakas F, Ozcelik IB, Ugurlar M, Sezer I, Purisa H. Treatment of bony Mallet finger using threaded Kirschner wire. Hand Microsurg. 2013; 2(1): 1-5. doi:10.2399/emd.13.18291


Web Style

Mersa B, Kabakas F, Ozcelik IB, Ugurlar M, Sezer I, Purisa H. Treatment of bony Mallet finger using threaded Kirschner wire. http://handmicrosurgeryjournal.com/?mno=163484 [Access: July 19, 2018]. doi:10.2399/emd.13.18291


AMA (American Medical Association) Style

Mersa B, Kabakas F, Ozcelik IB, Ugurlar M, Sezer I, Purisa H. Treatment of bony Mallet finger using threaded Kirschner wire. Hand Microsurg. 2013; 2(1): 1-5. doi:10.2399/emd.13.18291


Vancouver/ICMJE Style

Mersa B, Kabakas F, Ozcelik IB, Ugurlar M, Sezer I, Purisa H. Treatment of bony Mallet finger using threaded Kirschner wire. Hand Microsurg. (2013), [cited July 19, 2018]; 2(1): 1-5. doi:10.2399/emd.13.18291


Harvard Style

Mersa, B., Kabakas, F., Ozcelik, I. B., Ugurlar, M., Sezer, I. & Purisa, H. (2013) Treatment of bony Mallet finger using threaded Kirschner wire. Hand Microsurg, 2 (1), 1-5. doi:10.2399/emd.13.18291


Turabian Style

Mersa, Berkan, Fatih Kabakas, Ismail Bulent Ozcelik, Meric Ugurlar, Ilker Sezer, and Husrev Purisa. 2013. Treatment of bony Mallet finger using threaded Kirschner wire. Hand and Microsurgery, 2 (1), 1-5. doi:10.2399/emd.13.18291


Chicago Style

Mersa, Berkan, Fatih Kabakas, Ismail Bulent Ozcelik, Meric Ugurlar, Ilker Sezer, and Husrev Purisa. “Treatment of bony Mallet finger using threaded Kirschner wire.” Hand and Microsurgery 2 (2013), 1-5. doi:10.2399/emd.13.18291


MLA (The Modern Language Association) Style

Mersa, Berkan, Fatih Kabakas, Ismail Bulent Ozcelik, Meric Ugurlar, Ilker Sezer, and Husrev Purisa. “Treatment of bony Mallet finger using threaded Kirschner wire.” Hand and Microsurgery 2.1 (2013), 1-5. Print. doi:10.2399/emd.13.18291


APA (American Psychological Association) Style

Mersa, B., Kabakas, F., Ozcelik, I. B., Ugurlar, M., Sezer, I. & Purisa, H. (2013) Treatment of bony Mallet finger using threaded Kirschner wire. Hand and Microsurgery, 2 (1), 1-5. doi:10.2399/emd.13.18291