Extension Block Pinning Versus Hook Plate Fixation for Treatment of Mallet Fractures

Toker, Serdar; Türkmen, Faik; Pekince, Oğuzhan; Korucu, İsmail Hakkı; Karalezli, Nazım

doi:10.1016/j.jhsa.2015.04.027

Cited by 23 publications

(25 citation statements)

References 27 publications

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“…The authors of three studies were contacted as it was unclear whether they were randomized. One confirmed that the study was an RCT (Sourmelis et al, 1995), one that the study was a cohort study (Gabler et al, 2001) and no reply was received from the third (Toker et al, 2015), so the study was excluded. Details of the included studies, mapped by anatomical region, are presented in Appendix S2 (Tables A-H) (available online), including report identifiers and the population, intervention, comparator and outcomes outline for each trial.…”

Section: Resultsmentioning

confidence: 97%

Treatment interventions for hand fractures and joint injuries: a scoping review of randomized controlled trials

Mousoulis

Kim

Leighton

et al. 2019

J Hand Surg Eur Vol

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The aim of this study was to identify and assess all existing randomized studies on treatment interventions for hand fractures and joint injuries, to inform practice and plan future research. PubMed, Cochrane CENTRAL, MEDLINE and Embase were searched. We identified 78 randomized controlled trials published over 35 years, covering seven anatomical areas of the hand. We report on sources of bias, sample size, follow-up length and retention, outcome measures and reporting. In terms of interventions studied, the trials were extremely heterogeneous, so it is difficult to draw conclusions on individual treatments. The published randomized controlled clinical trial evidence for hand fractures and joint injuries is narrow in scope and of generally low methodological quality. Mapping provides a useful resource and stepping-stone for planning further research. There is a need for high-quality, collaborative research to guide management of a wider range of common hand injuries.

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Section: Resultsmentioning

confidence: 97%

Treatment interventions for hand fractures and joint injuries: a scoping review of randomized controlled trials

Mousoulis

Kim

Leighton

et al. 2019

J Hand Surg Eur Vol

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“…Excellent and good results have been reported in 64%–94% of fractures according to the Crawford score, with use of the extension block method in mallet fractures (Hofmeister et al, 2003; Jörgsholm et al, 2010; Lee et al, 2009, 2010; Pegoli et al, 2003; Toker et al, 2015). In the current study, excellent and good results were obtained in 74% in the single wire group and in 71% of the group in which two wires were used.…”

Section: Discussionmentioning

confidence: 99%

Extension block technique for mallet fractures: a comparison of one and two dorsal pins

Akgün

Bulut

Zengin

et al. 2016

J Hand Surg Eur Vol

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The aim of this study was to compare the clinical and radiological outcomes of one or two dorsal pins for extension blocking of mallet fractures. We treated 36 mallet fractures with the extension block technique. A single pin was used in 19 fractures (Group 1) and two pins in 17 fractures (Group 2). The mean age was 33.6 years and the mean follow-up time was 12.2 months. All patients were assessed by the Crawford outcome score. Extensor lag and other complications were noted. All fractures united with a mean time of 6.0 weeks (4-9) in Group 1, and 6.1 weeks (4-7) in Group 2. We obtained 74% and 71% excellent and good outcome scores in Group 1 and in Group 2, respectively. The final extension lag was 6° in Group 1, and 7° in Group 2. No difference was found between the two groups in terms of clinical outcomes, radiological values and complications.Level 3 non-randomized controlled study.

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“…The fixation is usually stable enough for early joint motion. Some surgeons state that the mini-hook plate can achieve the operation goals, which are anatomical reduction, rigid internal fixation, and early mobilization without the risk of fragmentation of the small osseous fragment [ 2 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, this issue should be more considered in female patients with ring and little finger mallet fractures. Early studies also noted the shortcomings of mini-hook plate fixation in mallet fractures, which is technically demanding, higher cost than extension block pinning, and may need secondary surgery for plate removal [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…The mini-hook plate is a useful method to fix small osseous fractures, and its use for phalangeal avulsion fractures was first described in mallet fractures [ 1 , 2 ]. Clinical reports on the treatment of mallet fractures using the mini-hook plate showed that fixation is usually stable enough for early mobilization and excellent functional outcomes [ 3 , 4 ]. Some surgeons extended the indication for the mini-hook plate fixation beyond mallet fracture to include other phalangeal avulsion fractures, including central slip of the extensor, collateral ligament, flexor tendons, and volar plate [ 5 , 6 ].…”

Section: Backgroundsmentioning

confidence: 99%

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Clinical outcomes after mini-hook plate fixation for small avulsion fractures around the interphalangeal or metacarpophalangeal joints of the hand

Lee

Park

et al. 2021

J Orthop Surg Res

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Background Mini-hook plate has been described for the treatment of various small avulsion fragments in the hand. This retrospective study aimed to evaluate clinical outcomes after mini-hook plate fixation in patients with an avulsion fracture around the interphalangeal or metacarpophalangeal joints of the hand. Methods Nineteen patients with avulsion fractures around the interphalangeal or metacarpophalangeal joints of the hand were included in this study. Seven patients had a mallet fracture, and 12 patients had other phalangeal avulsion fractures including central slip, collateral ligament, volar plate, and flexor avulsion fractures. The osseous union and functional outcomes, including finger joint motion, joint stability, pinching strength, and the disabilities of the arm, shoulder, and hand score, were evaluated. Results The mean duration of follow-up was 33.8 months. All patients in mallet and other phalangeal avulsion fractures achieved osseous union between the avulsion fragment and phalangeal bone, and there was no joint subluxation. There were no significant differences in the disabilities of the arm, shoulder, and hand scores. However, the patients with mallet fracture have lower mean percentage values of the total active range of motion and pinching strength than other phalangeal avulsion fractures. We abandoned this procedure in mallet fractures because the early results after mini-hook plate fixation in mallet fractures appeared unfavorable. Conclusion These results suggest that the mini-hook plate fixation can provide sufficient stability and good clinical outcomes in those with phalangeal avulsion fractures. However, the outcomes for mallet fractures were not as good as those for other phalangeal avulsion fractures.

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Extension Block Pinning Versus Hook Plate Fixation for Treatment of Mallet Fractures

Cited by 23 publications

References 27 publications

Treatment interventions for hand fractures and joint injuries: a scoping review of randomized controlled trials

Treatment interventions for hand fractures and joint injuries: a scoping review of randomized controlled trials

Extension block technique for mallet fractures: a comparison of one and two dorsal pins

Clinical outcomes after mini-hook plate fixation for small avulsion fractures around the interphalangeal or metacarpophalangeal joints of the hand

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