A comparison of single versus double cortical procedure using dorsal Kirschner wire through extension block method in the surgical treatment of mallet finger

Acar, Erdinç; Bezirgan, Uğur

doi:10.5455/handmicrosurg.40375

Cited by 1 publication

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“…Different fixation techniques such as k-wires and hypodermic needles are reported to be used in distal phalanx fractures [10,13]. There are also clinical applications where single and multiple implants are used [14,15]. This study aimed to evaluate the clinical and functional outcomes of fixation of open unstable tuft fractures with hypodermic needle in the emergency department, which was previously used for tuft fractures in the adult population but had no viable counterpart in the pediatric population.…”

Section: Introductionmentioning

confidence: 99%

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Fixation of open, unstable tuft fractures in toddlers and preschool-aged children using a 25-gauge hypodermic needle

Kılınçoğlu

Gönder

Demir

et al. 2021

Journal of Pediatric Orthopaedics B

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This study aimed to assess the treatment process of open, unstable tuft fractures occurring in toddlers and preschool-aged children treated using a 25-gauge hypodermic needle in the emergency department, and the cosmetic and functional results achieved by this treatment. This retrospective cohort study included a total of 72 patients. Children aged two to six years were included in the study. Van Beek classification was used for the evaluation of nail bed injuries. Cosmetic results were evaluated on the basis of Zook classification whereas functional results were evaluated according to the Buck-Gramko score simplified by Nietosvaara et al. The patient population consisted of 52 men and 20 women. The mean age was 4 ± 1.33 years. The operating time was 19.17 ± 3.66 minutes and the time to union was 46.68 ± 4.84 days. While excellent and good functional results were obtained in 65 (90.2%) of the patients, excellent and very good cosmetic results were obtained in 51 (70.8%) patients. Unless there is an accompanying extremity fracture, unstable pediatric tuft fractures can be successfully fixed with a hypodermic needle in the emergency department. Gentle and precise repair of the nail bed may provide cosmetically and functionally satisfactory results.

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