Internal suture for mallet finger fracture
Date
1999
Authors
Bauze, A.
Bain, G.
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Journal article
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Journal of Hand Surgery: European Volume, 1999; 24(6):688-692
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A Bauze, G.I Bain
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Abstract
An internal suture technique has been used for mallet finger fractures involving at least 30% of the articular surface. It provides fixation without a button or transfixion of the fragment. An independent retrospective review was conducted of ten patients at a mean follow-up of 17 months. Mean visual analogue score (0 to 10) for pain was 2.4 and satisfaction 7.9. Mean active range of motion was 13 to 49 degrees, passive motion was 2 to 56 degrees, pinch strength of effected finger to thumb was 3.8 kgf (81% of the opposite finger), grip strength 37.9 kgf (95% of the opposite hand). All fractures united and there were no neuromas. Complications included two nail deformities, a superficial infection and a pin track infection. One patient with a crush injury continued to have pain despite an arthrodesis.
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© 1999 The British Society for Surgery of the Hand. Published by Elsevier Ltd. All rights reserved.