微型钢板联合克氏针治疗Mallet骨折

doi:10.3969/j.issn.2095-378X.2018.01.006

Abstract

Abstract: Objective To introduce the surgical technique and clinical outcome of treatment of Mallet fractures using hook plate combined with K-wire.Method From January 2014 to January 2016, 11 cases of Mallet fractures were treated with hook plate combined with K-wire. A dorsal S or L shaped incision was made at the distal interphalangeal (DIP) joint to expose the fracture site. Under direct visualization the fracture was reduced and fixed with mini hook plate, then use a K-wire to fix the DIP joint. The K-wire was extracted and DIP joint functional exercise was strengthened 4 to 6 weeks after operation.Results All the 11 cases were followed-up for 6 to 24 months with an average of (15±6) months. All the fractures healed successfully with an average of (5.5±1.5)weeks. Based on Crawford’s evaluation criteria of DIP joints, the results were excellent for 5 cases, good for 4 cases, and fair for 2 cases. Raised ridge of nail was seen in 1 case.There were no arthritis, infection, intemal fixation failure, and other complications.Conclusion The application of hook plate combined with K-wire technique in the treatment of Mallet fractures not only retains the advantages of plate treatment, but also increases the stability of fracture site, showing satisfactory treatment effect.

Key words: Mallte fracture, Hook plate, Treatment

CLC Number:

R683.41

JIANG Chao, WANG Zhiyuan, DAI Yahui, ZHU Xiaozhong. Treatment of Mallet fractures using hook plate combined with K-wire technique[J]. Surgical Research and New Technique, 2018, 7(1): 20-23.

References

[1] 徐海林,傅中国,王天兵,等.锤状指的治疗[J].中华手外科杂志,2007,23(2):87-88.
[2] 付吉东,王立波,李敏,等.双克氏针内固定治疗指伸肌腱止点撕脱骨折[J].中华手外科杂志,2012,28(5):292-293.
[3] Crawford GP.The molded polythene splint for mallet finger deformities[J].J Hand Surg(Am),1984,9(2):231-237.
[4] 张文龙,张云鹏,张净宇,等.克氏针弹性固定技术治疗Mallet骨折[J].中华手外科杂志,2016,32(2):120-122.
[5] Toker S, Tiirkmen F, Pekince O, et al.Extension block pinning versus hook plate fixation for treatment of mallet fractures[J].J Hand Surg (Am),2015,40(8):1591-1596.
[6] Teoh LC, Lee JY.Mallet fractures:a novel approach to internal fixation using a hook plate[J].J Hand Surg Eur,2007,32(1):24-30.
[7] 李忠哲,易传军,胡琪,等.应用钩钢板内固定技术治疗mallet骨折[J].中华手外科杂志,2009,25(4):227-229.
[8] 吴志鹏,林大木,陈星隆,等.应用微型钩钢板治疗骨性锤状指的临床研究[J].中华手外科杂志,2015,31(1):9-11.
[9] Tie J, Hsieh MKH, Tay SC. Outcome of hook plate fixation of mallet fractures[J].J Hand Surg Asian Pac,2017,22(4):416.
[10] 蒋曙,尹善青.钩钢板内固定治疗Ⅲ型锤状指[J].中医正骨,2013,25(7):62-63.
[11] Basar H, Basar B, Basc O, et al.Comparison of treatment of oblique and spiral metacarpal and phalangeal fractures with mini plate plus screw or screw only[J].Arch Orthop Trauma Surg,2015,135 (4) :499-504.
[12] Imoto FS, Leão TA, Imoto RS, et al.Osteosynthesis of Mallet finger using plate and screws: evaluation of 25 patients[J].Rev Bras Ortop,2016,51(3):268-273.
[13] Bloom JM, Khouri JS, Hammert WC. Current concepts in the evaluation and treatment of Mallet finger injury[J].Plast Reconstr Surg,2013,132(4):560e.
[14] Wehbé MA, Schneider LH. Mallet fractures[J].J Bone Joint Surg(Am),1984,66(5):658.

[1]	LIU Nanbin, XU Yan, WEI Yuhua, LIU Zhongyan, CHEN Quanning, SHI Baomin. Analysis on diagnosis and treatment of 39 cases of acute gangrenous cholecystitis [J]. Surgical Research and New Technique, 2021, 10(1): 37-41.
[2]	LIU Nanbin, WU Gang, BIAN Cuidong. Diagnosis and treatment of 12 cases of tape bladder invasion after TVT-O operation [J]. Surgical Research and New Technique, 2020, 9(3): 154-157.
[3]	GU Li, YU Lei, ZHANG Yiqian, WANG Xinli. One case of Madelung's disease [J]. Surgical Research and New Technique, 2020, 9(1): 59-62.
[4]	LIU Pengfei, XU Wen, LIU Kai, YE Chun. Surgical experience of hepatic cyst connected with bile duct [J]. Surgical Research and New Technique, 2019, 8(2): 118-119.
[5]	PAN Jianhai, LI Zhongmin, WEN Li, WU Yang. Application of laparoscopy in surgical treatment of acute gangrenous appendicitis [J]. Surgical Research and New Technique, 2019, 8(1): 10-12.
[6]	XIN Guangyi, WANG Liping. Observation of endoscopic hemostasis treatment and nursing for acute non-varicose upper gastrointestinal bleeding [J]. Surgical Research and New Technique, 2018, 7(4): 288-291.
[7]	ZHANG Lin, BAO Meijuan, SUN Meiyan, SUN Wenxiu, LI Ye, XIN Chanying, LU Hongzhou. Qualitative study on marriage experience and treatment of homosexual male patients with AIDS [J]. Surgical Research and New Technique, 2018, 7(4): 292-295.
[8]	WANG Chaolan, ZHU Tianmin. Exploration of pathogenesis and clinical treatment for sacroiliac joint pain after lumber fusion [J]. Surgical Research and New Technique, 2018, 7(1): 61-64.
[9]	FU Rongrong, XU Fanglei, ZHANG Tingting, ZHU Xiaoping. Research progress on non-surgical treatment and nursing of elderly women with stress urinary incontinence [J]. Surgical Research and New Technique, 2018, 7(1): 69-73.
[10]	GU Junfeng, DAI Xiaoqing, WENG Xian. Clinical observation of conservative treatment and surgical treatment for distal radius fracture [J]. Surgical Research and New Technique, 2017, 6(4): 256-258.
[11]	SHAN Juan, YOU Chunfang, XU Fanglei. Research progress on treatment and care of urinary incontinence in perioperative elderly patients with orthopedic disease [J]. Surgical Research and New Technique, 2017, 6(4): 302-308.
[12]	ZHANG Chuanhong, ZHANG Xiaowei, MIN Lifang. Effect of extraction treatment on craniomaxillofacial vertical structure of high angle patients [J]. Surgical Research and New Technique, 2017, 6(3): 185-188.
[13]	QIAN Duocheng, WU Denglong. Advances on research and treatment of nocturia [J]. Surgical Research and New Technique, 2017, 6(3): 198-202.
[14]	PENG Lei, CHEN Xuemei, XU Fanglei. New progress on surgical treatment and nursing of stroke patients complicated with urinary incontinence [J]. Surgical Research and New Technique, 2017, 6(2): 145-148.
[15]	YIN Peipei, YU Xiaowei. New progress on assisted technologies for minimally invasive treatment of tibial plateau fracture [J]. Surgical Research and New Technique, 2017, 6(2): 105-109.

Treatment of Mallet fractures using hook plate combined with K-wire technique

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments