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Osteoarthritis after Extension Block Technique for the Bony Mallet Finger
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논문 기본 정보

Type
Academic journal
Author
Sung Hoon Koh (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Jung Hyun Park (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Jin Soo Kim (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko)
Journal
대한수부외과학회 Archives of Hand and Microsurgery Archives of Hand and Microsurgery Vol.26 No.4
Published
2021.12
Pages
238 - 244 (7page)
DOI
10.12790/ahm.21.0129

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Osteoarthritis after Extension Block Technique for the Bony Mallet Finger
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Purpose: The purpose of this study is to investigate osteoarthritis after treatment of bony mallet finger using the extension block method. Methods: A single institutional retrospective review identified 163 patients with bony mallet between January 2012 and July 2020 and received surgical treatment using extension block method. The radiographic examination showed that the fracture line disappeared and a bridging callus was formed and bone union was confirmed. Fractures were classified according to the Tubiana classification method. Demographic data, fracture pattern, postoperative X-ray, and late complications were analyzed. Clinical outcomes were analyzed using Crawford’s criteria. Results: Surgical treatment was performed within an average of 8.8 days after injury, and the average follow-up period was 11.6 weeks. Osteoarthritis findings were confirmed by joint space narrowing and osteophytes on radiographic examination of 32 out of 163 patients. Age, sex, occupation, location of trauma, operation time, and type of fracture did not affect the osteoarthritis after extension block. Invasion of Kirschner wire (K-wire) to the fracture surface, family history of osteoarthritis, and operation time turned out to have a statistically significant effect on osteoarthritis (p<0.05). Conclusion: Fracture surface invasion of K-wire and family history of osteoarthritis affect osteoarthritis after treatment of bony mallet.
#Mallet finger #Osteoarthritis #Extension block

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References (21)

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Darder-Prats A / 1998 / Treatment of mallet finger fractures by the extension-block K-wire technique / J Hand Surg Br 23:802~805 google schola Niechajev IA / 1985 / Conservative and operative treatment of mallet finger / Plast Reconstr Surg 76:580~585 google schola Stark HH / 1987 / Operative treatment of intra-articular fractures of the dorsal aspect of the distal phalanx of digits / J Bone Joint Surg Am 69:892~896 google schola Lee YH / 2009 / Two extension block Kirschner wire technique for mallet finger fractures / J Bone Joint Surg Br 91:1478~1481 google schola Wehbé MA / 1984 / Mallet fractures / J Bone Joint Surg Am 66:658~669 google schola

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