Extension block pinning for large mallet fractures

Closed Extension Block Technique for Treatment of Osseous Mallet Injury

“…In our study, we didn't see pin-tract infection. 78% to 92% excellent and good functional results have been reported 9,14 . We obtained 34/36% excellent and good results in our study.…”

“…Frequent follow-up evaluations are essential for conservative treatment 1 . The complications ( skin maceration, tender dorsal prominance, joint stiffness, swan neck deformity, extansion deficience ) have been reported for conservative treatment 9,10 . Approximately 10° extansion deficience has been reported after conservative treatment in 40% to 70% of patients 11,12 .…”

A New Treatment Modality for Mallet Finger Deformity: 4-2-2 Protocol

“…Açık redüksiyon ve kirschner teli ile fiksasyon, gerilim bant teli, vida ile sabitleme, perkütan pin sabitleme, perkütan ekstansiyon blok pinleme, mini eksternal fiksatörler, pull in dikiş ve modifikasyonları gibi birçok değişik teknik klinik uygulamada kullanılabilmektedir. Her ne kadar birçok değişik teknik tanımlanmışsa da herkes tarafından kabul görmüş, tercih edilen bir teknik halen mevcut değildir (5)(6)(7)(8)(9)(10)(11)(12)(13)(14) .…”

Intraosseous suture technique with K-wire stabilisation for fixation of mallet fracture with DIPJ volar subluxation

“…4,[6][7][8][9][10][11][12][13][14][15][16][17][18] The commonly utilised surgical technique of extension blocking wire only serves to reduce the displaced fractures but struggles to contain the volar subluxation of the distal phalanx. 1,[19][20][21] Furthermore, as these wires are passed percutaneously into the distal interphalangeal joint (DIPJ), the risk of intra-articular sepsis is not inconsequential. Some surgeons prefer passing a small screw into the fragment but this carries the serious potential risk of splitting an already small bone fragment and substantially increasing the complexity of the surgery.…”