Plup Traction Technique for the Operative Treatment of Bony Mallet Finger

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Journal of the Korean Society for Surgery of the Hand 2005;10(3):162-168.
Published online September 1, 2005.

Ho Jung Kang, Dong Joon Shim, Joon Cheol Choi, Hong-Kee Yoon, Sang Yoon Lee, Soo Bong Hahn

수지 말단 수질 견인을 이용한 골성 추지의 수술적 치료

강호정, 심동준1, 최준철1, 윤홍기, 이상윤1, 한수봉

Abstract

Objective: Clinical assessment of the surgical technique with pulp traction for bony mallet finger. Materials and Methods: Eighteen bony mallet finger deformity patients underwent surgery using pulp traction and pull-out wire fixation or 5-0 nylon tendon repair technique from March 2003 to August 2004. The deformities were classified according to Wehbe and Schneider’s classification. Surgical indications included fragment involving more than 1/3 of the articular surface, diastasis more than 3mm, and subluxation of the distal interphalangeal joint irreducible by closed reduction. Results: The results were assessed by Modified Abouna and Brown criteria. Seventeen cases were rated as success and one case was rated failure. Of the Seventeen successful cases, none had extension lag or joint stiffness while all were cosmetically acceptable with patients’satisfaction. One failure case showed extension lag of twenty degrees. There was no case of infection, skin necrosis, joint stiffness, extensor tendon rupture, or wire breakage. There were two cases of minor nail deformity which eventually healed spontaneously and one case with epiphyseal arrest. Conclusion: Pulp traction technique may allow wider surgical field, accurate reduction with lesser complications and acceptable clinical outcomes.

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