Modified Extension Block Technique Using Conjoined Kirschner Wires for Bony Mallet Fingers.
- Author:
Hyun Chul PARK
1
;
Hyun Sik PARK
;
Sang Cheon AHN
;
Sang Soo KIM
;
Jin CHANG
Author Information
1. Department of Orthopaedic Surgery, Microhospital, Seoul, Korea. haddal12345@naver.com
- Publication Type:Original Article
- Keywords:
Bony mallet finger;
Modified extension block technique;
Conjoined Kirschner wires
- MeSH:
Bone Wires;
Congenital Abnormalities;
Fingers;
Follow-Up Studies;
Humans;
Joints;
Nails;
Range of Motion, Articular
- From:Journal of the Korean Society for Surgery of the Hand
2010;15(4):164-168
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To analyze the clinical results of the modified extension block fixation method using conjoined K-wires for bony mallet fractures. MATERIALS AND METHODS: From March 2006 to March 2009, we performed conjoined K-wire fixation as a modification of extension block technique in 9 patients with a bony mallet finger. After the average follow-up of 4.8 months, range of motion, pain, nail deformity, and bony union were evaluated. RESULTS: The average range of motion was 3.3degrees (range, 0-20degrees)of extension lag and 76.7degrees (range, 45-90degrees) of flexion. Bony union was obtained in all patients. No nail deformity was observed. One patient complained of distal interphalangeal joint pain. CONCLUSION: The extension block fixation method using conjoined K-wires can be an acceptable treatment option which provides stable fixation in bony mallet fractures.