Treatment of the Mallet Fracture of the Fingers by Percutaneous Reduction and Pinning

Journal of the Korean Society for Surgery of the Hand 2003;8(4):153-157.
Published online December 1, 2003.

Kyeong Jin Han, Ji Ho Moon, Nam Su Chung, Shin Young Kang

수지 골성 추지의 경피적 골절 정복 및 K-강선 고정

한경진, 문지호, 정남수, 강신영

Abstract

Purpose
The purpose of this study is to evaluate the clinical results of percutaneous direct reduction and percutaneous pinning of mallet fracture. Material and Method: 23 cases of mallet fracture was reduced percutaneously and trans-fracture pinning from dorsal side and trans-articular pinning was performed. After follow up of 8-12 months, the range of motion of the finger was measured and compared with opposite normal finger. We used the Criteria of Crawford as an parameter of the results. Result: The union of the fractures were completed in 4.7 weeks in average. The excellent was 16 cases, good was 5 cases and fair was 2 cases. There was 1 case of fracture displacement and 2 cases of pin site infection. Conclusion: We performed direct percutaneous reduction, compression and K-wire pinning of the mallet fracture. If we carefully reduce and insert the trans-fracture K-wire, we can get the good results without injury of soft tissue and extensor mechanism