Clinical Experience of Operative Treatment of Mallet Fracture

Journal of the Korean Society for Surgery of the Hand 2000;5(1):60-67.
Published online January 1, 2000.

Suk Woong Yoon, Byoung Gue Park, Joung Ho Ryu

골성 추지 수술 치료의 임상경험

윤석웅, 박병규, 류정호

Abstract

We did retrospective study of 16 cases of bony mallet fingers, which were type 4 as Doyle classification. Dividing the operation method as closed reduction method and open reduction method, we analysed the preferred method for each type and the result by each operation method in a type. In type 4B, open method was preferred. In type 4C, there were two methods. one is closed reduction and K-wire fixation and the other is open reduction and K-wire fixation or pull-out wire suture. 18 gauge syringe needle was used for closed reduction and guide for K-wire fixation. With closed reduction, 50.0% of patients showed satisfactory result. 75.5% of satisfactory result was obtained by open method. Open method looked superior to closed treatment.