Outcome Study on Operative Treatment of Mallet Finger

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Journal of the Korean Society for Surgery of the Hand 2002;7(1):34-41.
Published online January 1, 2002.

Yong Hoon Kim, Keun Woo Kim, Hak Jin Min, Ui Seoung Yoon, Jun Ho Baek

추지의 수술적 치료 결과

김용훈, 김근우, 민학진, 윤의성, 백준호

Abstract

Purpose
: To evaluate clinical results and patient’s subjective outcome including complication according to the type of injury and the method of operation in the surgical treatment of mallet finger. Materials and Methods : A closed transarticular Kwire fixation was performed in cases with tendon rupture and chip fracture, only in the case with a poor compliance of patient (13 cases). In intraarticular fracture, according to the method of surgery, patients were divided into pullout suture group (Group I; 11 cases), transarticular Kwire fixation group (Group II; 19 cases), extension block K-wire fixation group (Group III; 10 cases). Clinical results were assessed by Kanie’s scale, patient’s subjective outcome and complication. Result : In the group with tendon rupture or chip fracture, satisfactory result achieved only in 7 cases (54%) by Kanie’s scale, and in 7 cases (54%) by patient’s subjective outcome. In intraarticular fracture, satisfactory cases were 8 (72%) in group I, 12 (64%) in group II, 8 (80%) in group Ⅲ. Patient’s subjective outcomes were satisfactory relatively 8 cases (72%), 11 cases (58%), 8 cases (80%) in group I, II, III. Overall complication rates were 43% (23 cases), According to the method of surgery, complication rate was low in group III (20%), than group I (36%), and group II (52%). Conclusion : We think that the operative treatment is not primary treatment of mallet finger because of its poor clinical results and high complication rates. In intraarticular fracture, extension block K-wire fixation has a relatively good clinical result.

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