Clinical Outcome of Operative Treatment for Bony Mallet Finger

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Journal of the Korean Society for Surgery of the Hand 2000;5(1):68-75.
Published online January 1, 2000.

Sung-Ho Hahn, Bo-Kyu Yang, Seung-Rim Yi, Shun-Wook Chung, Se-Jin Oh

수술적으로 치료한 골성 추지의 임상 결과

한성호, 양보규, 이승림, 정선욱, 오세진

Abstract

In treatment of a flexion deformity caused by bony mallet finger, there is a great deal of controversy for treatment modalities. But open reduction and rigid internal fixation to restore congruity of the joint surface has been recommended by many authors. Therefore, we performed a retrospective study of 34 patients(37 fingers) who had been operated for bony mallet finger from Jan. 1995 to Dec. 1998. The purpose of this study was to evaluate the results of operative treatments for bony mallet finger using various operative modalities in order to restore congruity of the joint surface and to get better active range of motion. The results were as follows : 1.The ring finger and the little finger wesre more commonly involved(32.4%) than the other fingers. 2.Type IB was the most common fracture type(54.0%) by Wehbe & Schneider classification. 3.Open reduction using axial pin & pull-out suture was the most common operative modality(48.6%). 4.Cases used pull-out suture, only or combined, revealed higher satisfactory ate(72%) than those used K-wire fixation(58%). 5.Type IIB revealed the highest post-op complication rate(50%).

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