Internal Fixation of Mallet Fractures using a Hook Plate

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Journal of the Korean Society for Surgery of the Hand 2008;13(4):299-303.
Published online December 1, 2008.

Kyu Cheol Noh, Jin Soo Park, Hong Kyuu Kim, Hui Seong Yu, Jung Han Yoo, Kook Jin Chung, Ji Hyo Hwang, Soo Bong Hahn

Hook 금속판을 이용한 골성 추지 골절의 치료

노규철, 김홍균, 유희성, 유정한, 박진수, 정국진, 황지효, 한수봉

Abstract

Purpose
The purpose of this study is to introduce the result of treatment for bony mallet finger using hook plate Materials and Methods: From September 2007 to Feburary 2008, 7 patients were treated with hook plate for bony mallet finger. Indications of operative treatment are fractures involving more than 30% of articular surface or those with palmar subluxation or fracture fragment displaced more than 3 mm. We used hook plate which prebend the 1.2 mm miniplate (Leibinger?). The mean follow-up period was 7 months. The clinical results were evaluated using Crawford classification. Results: According to Crawford classification, 6 cases were excellent and 1 case was good. There were marginal necrosis in one case and nail deformities in 3 cases. These complications were healed spontaneously. Conclusion: Internal fixation of mallet finger using Hook plate is a relatively easy method which can achieve anatomical reduction and firm fixation for earlier interphalangeal joint exercise.

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