percutaneous pin fixation of the mallet fracture, review of the techniques
TRANSCRIPT
Mallet fracture reduction:Fragment vs. Phalanx
Amir R. Kachooei, MDAli Moradi, MD
Chaitanya S. Mudgal, MD
Introduction
Tension Wire FixationJupiter 1987
ISHIGURO EXTENSION BLOCK: Japan.1988
Compression fixation pin: Japan
K. YAMANAKA and T. SASAKI. JHS.1999
External Fixation: Turkey, JHS.2003
Open Reduction Screw Fixation
S. C. KRONLAGE and D. FAUST. JHS. 2004
Single K-Wire CompressionD. FRITZ. JHS. 2005
Umbrella Handle:Italy, JHS.2006
Hook PlateSingapore, JHS. 2007
Pull-out WireZhang, China.2010
Methods
16 y.o female after basketball injury
Wire in for 6 wks 2 month f/u
2 month f/u
3 month f/u
ResultsPatients Data
Patient Age, y Sex Digit Injury Side
Injury mechanism
Surgery timing, d Pin Size Splint
Pin removed,
dPin site Fragment
SizeFollow-up,
mo flexion extension
1 47 M Small L Sport 8 0.045 Yes 56 redness 45% 3
2 17 M Small R Sport 56 0.045 Yes 47 OK 48% 8 full full
3 16 F Middle R Sport 47 0.045 Yes 46 OK 43% 3 full full
Data from Previous Study
1 44 F Small L Sport 5 0.045 Yes 38 OK Ave 52% 6 0 65
2 15 M Middle L Sport 22 0.045 Yes 43 OK Ave 52% 4 0 80
3 28 M Ring L Sport 56 0.045 Yes 44 OK Ave 52% 19 0 85
Conclusion
1. Closed reduction and IF with single K-wire has satisfactory outcome.
2. Anatomic reduction is not necessary for type IIb mallet fractures.
3. Joint subluxation should be addressed when present.
Thank you