The Treatment of Doyle Type 4b Mallet Fractures with Pull-Out Suture and Transarticular Kirschner Wire Fixation Technique
Aim: In this study, we evaluated the results of the pull-out suture and transarticular Kirschner wire fixation technique in the treatment of Doyle type 4b mallet fractures. Methods: The study involved 15 patients (10 males, 5 females) with a mean age of 36.3 years (range: 15-55 years) who underw...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2015-06-01
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| Series: | Haseki Tıp Bülteni |
| Subjects: | |
| Online Access: | http://www.hasekidergisi.com/article_8936/The-Treatment-Of-Doyle-Type-4b-Mallet-Fractures-With-Pull-out-Suture-And-Transarticular-Kirschner-Wire-Fixation-Technique |
| Summary: | Aim: In this study, we evaluated the results of the pull-out
suture and transarticular Kirschner wire fixation technique in the
treatment of Doyle type 4b mallet fractures.
Methods: The study involved 15 patients (10 males, 5 females)
with a mean age of 36.3 years (range: 15-55 years) who underwent
surgery for mallet fracture between January 2005 and August
2013. Following the open reduction, pull-out suture and fixation
with transarticular Kirschner wire were performed as the surgical
method. The patients were assessed functionally and clinically
according to the Crawford criteria. The mean follow-up period was
39.3 months (range: 6-99).
Results: Radiographic union was achieved in all patients. None
of the patients developed infection, skin necrosis, avascular
necrosis, nail deformity, and degeneration or subluxation of the
distal interphalangeal joint. According to the Crawford criteria, the
results were excellent in 12 (80%) patients, good in two (13%)
patients and moderate in one (7%) patient. None of the patients
developed flexion loss and the mean extension loss was 1.5 °C
(range: 0-15).
Conclusion: Considering the satisfaction of both the patient
and the surgeon, we suggest pull-out suturing and transarticular
Kirschner wire application which is a satisfactory surgical method
in the treatment of Doyle type 4b mallet fractures. (The Medical
Bulletin of Haseki 2015; 53:135-8) |
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| ISSN: | 1302-0072 2147-2688 |