A Novel Prolene Suture Pull-out Technique Combined with Anchor Technique for the Treatment of Tendinous Mallet Finger
Background:. Mallet finger deformity is a prevalent disability that causes discomfort and inconvenience to the patients. Despite the existence of various surgical approaches, surgical management remains a controversial subject. Methods:. We retrospectively analyzed the clinical data of 26 patients w...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2024-03-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005672 |
| _version_ | 1797243088762044416 |
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| author | Fengxiong Wang, MD Song Xiao, MD Xiaowei He, MD Dayin Zheng, MD Man Wu, MD Xiaoting Wang, MD Liyun Cai, MD |
| author_facet | Fengxiong Wang, MD Song Xiao, MD Xiaowei He, MD Dayin Zheng, MD Man Wu, MD Xiaoting Wang, MD Liyun Cai, MD |
| author_sort | Fengxiong Wang, MD |
| collection | DOAJ |
| description | Background:. Mallet finger deformity is a prevalent disability that causes discomfort and inconvenience to the patients. Despite the existence of various surgical approaches, surgical management remains a controversial subject.
Methods:. We retrospectively analyzed the clinical data of 26 patients with isolated tendinous mallet fingers who were admitted between January 2021 and June 2022. Among them, there were 18 men and eight women, aged between 20 and 56 years, with an average age of 38 years. The causes of injury were cutting injuries (15 cases), sports impact injuries (nine cases), and sprains (two cases). The time interval between injury and surgery ranged from 2 hours to 48 days, with an average of 12 days. During the surgical procedure, the distal interphalangeal joint was fixed in a mild dorsiflexion position using Kirschner wire. Absorbable anchors were used to assist in the reconstruction of the insertion point of the finger extensor tendon. Additionally, a 4-0 Prolene suture was used for reinforcement.
Results:. All 26 patients were followed up for a period ranging from 6 to 24 months, with an average follow-up duration of 9 months. The function of distal interphalangeal joint was preserved. According to the Crawford functional evaluation criteria, the function of the affected fingers was excellent in 15 cases, good in eight cases, fair in three cases, and poor in no cases.
Conclusions:. A novel Prolene suture pull-out technique is an effective approach to repair tendon mallet finger and reconstruct the tendon-bone anatomical unit. This treatment option provides favorable outcomes, with high rates of excellent and good functional results. |
| first_indexed | 2024-04-24T18:49:34Z |
| format | Article |
| id | doaj.art-648788540054421b873dd0861b78c09d |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-24T18:49:34Z |
| publishDate | 2024-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-648788540054421b873dd0861b78c09d2024-03-27T03:41:49ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-03-01123e567210.1097/GOX.0000000000005672202403000-00008A Novel Prolene Suture Pull-out Technique Combined with Anchor Technique for the Treatment of Tendinous Mallet FingerFengxiong Wang, MD0Song Xiao, MD1Xiaowei He, MD2Dayin Zheng, MD3Man Wu, MD4Xiaoting Wang, MD5Liyun Cai, MD6From the * Department of Hand and Foot Surgery, The Third Hospital of Xiamen, Xiamen, Fujian Province, ChinaFrom the * Department of Hand and Foot Surgery, The Third Hospital of Xiamen, Xiamen, Fujian Province, ChinaFrom the * Department of Hand and Foot Surgery, The Third Hospital of Xiamen, Xiamen, Fujian Province, ChinaFrom the * Department of Hand and Foot Surgery, The Third Hospital of Xiamen, Xiamen, Fujian Province, China† Department of Endocrinology, The Third Hospital of Xiamen, Xiamen, Fujian Province, China‡ Department of Baisc Medicine, Xiamen Medical College, Xiamen, Fujian Province, China.From the * Department of Hand and Foot Surgery, The Third Hospital of Xiamen, Xiamen, Fujian Province, ChinaBackground:. Mallet finger deformity is a prevalent disability that causes discomfort and inconvenience to the patients. Despite the existence of various surgical approaches, surgical management remains a controversial subject. Methods:. We retrospectively analyzed the clinical data of 26 patients with isolated tendinous mallet fingers who were admitted between January 2021 and June 2022. Among them, there were 18 men and eight women, aged between 20 and 56 years, with an average age of 38 years. The causes of injury were cutting injuries (15 cases), sports impact injuries (nine cases), and sprains (two cases). The time interval between injury and surgery ranged from 2 hours to 48 days, with an average of 12 days. During the surgical procedure, the distal interphalangeal joint was fixed in a mild dorsiflexion position using Kirschner wire. Absorbable anchors were used to assist in the reconstruction of the insertion point of the finger extensor tendon. Additionally, a 4-0 Prolene suture was used for reinforcement. Results:. All 26 patients were followed up for a period ranging from 6 to 24 months, with an average follow-up duration of 9 months. The function of distal interphalangeal joint was preserved. According to the Crawford functional evaluation criteria, the function of the affected fingers was excellent in 15 cases, good in eight cases, fair in three cases, and poor in no cases. Conclusions:. A novel Prolene suture pull-out technique is an effective approach to repair tendon mallet finger and reconstruct the tendon-bone anatomical unit. This treatment option provides favorable outcomes, with high rates of excellent and good functional results.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005672 |
| spellingShingle | Fengxiong Wang, MD Song Xiao, MD Xiaowei He, MD Dayin Zheng, MD Man Wu, MD Xiaoting Wang, MD Liyun Cai, MD A Novel Prolene Suture Pull-out Technique Combined with Anchor Technique for the Treatment of Tendinous Mallet Finger Plastic and Reconstructive Surgery, Global Open |
| title | A Novel Prolene Suture Pull-out Technique Combined with Anchor Technique for the Treatment of Tendinous Mallet Finger |
| title_full | A Novel Prolene Suture Pull-out Technique Combined with Anchor Technique for the Treatment of Tendinous Mallet Finger |
| title_fullStr | A Novel Prolene Suture Pull-out Technique Combined with Anchor Technique for the Treatment of Tendinous Mallet Finger |
| title_full_unstemmed | A Novel Prolene Suture Pull-out Technique Combined with Anchor Technique for the Treatment of Tendinous Mallet Finger |
| title_short | A Novel Prolene Suture Pull-out Technique Combined with Anchor Technique for the Treatment of Tendinous Mallet Finger |
| title_sort | novel prolene suture pull out technique combined with anchor technique for the treatment of tendinous mallet finger |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005672 |
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