Clinical Experience in Bony Mallet Finger

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Journal of the Korean Society for Surgery of the Hand 2001;6(2):112-116.
Published online December 1, 2001.

Dong Wha Lee, Kyoo Seog Shin, Jong Soon Kim, Jung Seok Kim, Jin Ho Sok, Je Bum Kim

골성추지의 임상적 경험

이동화, 신규석, 김종순, 김중석, 석진호, 김제범

Abstract

Purpose
: Mallet finger is a common deformity after trauma. There are various methods of treatment. The aim of this study is to report our clinical result. Materials & Method : We performed open reduction and internal fixation with K-wire for 16 cases of bony mallet finger and followed up at least 1 year from March 1995 to Feb. 2001. Our indications for open reduction were 1) cases with volar subluxation of the distal phalanx, 2) more than 30% involvement of the articular surface, 3) more than 3 mm displacement of the fragment Results : Among 16 cases of mallet finger, 6 cases were excellent, 8 cases were good and 2 cases were fair according to Crawford criteria. Conclusion : We report the result of open reduction and K-wire fixation of mallet finger deformity. Anatomical reduction and stable fixation of fragment with K-wire seemed to be a reliable method for the restoration of the motion in the distal interphalangeal joint.

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