Outcome of Hook Plate Fixation of Mallet Fractures

Tie, Joyce; Hsieh, Michael Ku Hung; Tay, Shian Chao

doi:10.1142/s0218810417500435

Cited by 8 publications

(9 citation statements)

References 12 publications

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“…Another complication of mallet finger surgery is the loss of reduction. [ 28 ] This complication developed in one patient in the EBT group in our study (Patient 15, Table I). Since the patient rejected redo surgery, treatment was continued with splint and resulted in a 70-degree motion arc.…”

Section: Discussionmentioning

confidence: 81%

A new custom-made plate preparation method for bony mallet finger treatment and a comparison with extension block technique

et al. 2021

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Objectives In this study, we aimed to describe a new hook plate technique (HPT) and to compare our results with the conventional extension block technique (EBT) with a Kirschner wire (K-wire) for bony mallet finger treatment. Patients and methods Between April 2015 and January 2018, a total of 19 patients including 10 who were treated with EBT (7 males, 3 females; mean age: 30.1±7.3 years; range, 17 to 48 years) and nine who were treated with HPT (6 males, 3 females; mean age: 31.7±11.3 years; range, 19 to 42 years) for bony mallet finger with distal interphalangeal (DIP) joint subluxation and/or fracture fragment larger than one-third of distal phalanx (Wehbe-Schneider type 1/b, 2/a, 2/b, 3/a) joint were retrospectively analyzed. The DIP range of motion (ROM), Warren and Crawford scores, time to return to work/daily activity, operation time, the number of fluoroscopy shots, cost and complications were compared. Results No significant difference was found in the DIP ROM (p=0.708) and the Warren/Norris and Crawford scores (p=0.217 and p=0.175, respectively) between the two groups. Operation time and material cost were higher with HPT (p=0.006, p=0.001). There was no significant difference in the number of fluoroscopy shots (p=0.344). Although DIP joint motion was started at two weeks in the HPT group and at eight weeks in the EBT group, no significant difference was observed in the time of return to work and normal daily life in both groups (p=0.859). Complications were observed in two patients in the EBT group and in three patients in the HPT group. No significant difference in total complications was observed between the two groups (p=0.666). Conclusion Bony mallet finger treatment with a custom-made hook plate prepared from 1.3-mm AO plates appeared to be clinically and radiologically similar to EBT. Additionally, HPT had the advantages of allowing early ROM to DIP joint and eliminating the need for a secondary surgery such as K-wire removal. On the other hand, hardware cost with HPT was higher than EBT.

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Section: Discussionmentioning

confidence: 81%

A new custom-made plate preparation method for bony mallet finger treatment and a comparison with extension block technique

et al. 2021

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“…Since the introduction of the hook plate techniques, few studies reported their outcomes, some with larger numbers of study subjects up to 35 digits, and all showed variable results, which were less than optimal compared with Teoh and Lee's results 11,19,[21][22][23] (►Table 3).…”

Section: Discussionmentioning

confidence: 99%

“…Em alguns, o número de pacientes foi maior, com até 35 dedos. Todos tiveram resultados variáveis, que foram abaixo do ideal em comparação aos relatados por Teoh e Lee 11,19,[21][22][23] (►Tabela 3).…”

Section: Discussionunclassified

“…Since then, only a limited number of reports have been published in the literature assessing the results of this technique, with some challenging the reproduction of the results initially reported. 11 In the current study, we aimed at reporting our early experience and results (clinical, radiological, and complications) after using low-cost hook plates fabricated from low-profile titanium mini plates for ORIF of mallet fractures.…”

Section: Instructionmentioning

confidence: 99%

“…Desde então, poucos relatos foram publicados na literatura avaliando os desfechos dessa técnica e alguns questionaram a reprodução dos resultados inicialmente descritos. 11 Este estudo teve por objetivo relatar nossa experiência inicial e os desfechos (clínicos, radiológicos e complicações) das fraturas em martelo após a RAFI com placas de gancho de baixo custo fabricadas a partir de mini placas de titânio de baixo perfil.…”

Section: Introductionunclassified

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Fixação de fraturas em martelo com técnica de placa de gancho modificada: Uma série de casos prospectivos de 17 pacientes

Abubeih,

Abdelhameed,

Morsy

et al. 2023

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Diversas modalidades têm sido sugeridas para o tratamento de fraturas em martelo; no entanto, o tratamento inadequado pode causar retardo de extensão, deformidade em pescoço de cisne ou artrite da articulação interfalangiana distal (AIFD). Este estudo teve como objetivo avaliar os desfechos (funcionais, radiológicos e complicações) da redução aberta e fixação interna (RAFI) das fraturas em martelo com placas de gancho de baixo custo fabricadas com mini placas de titânio de baixo perfil. Métodos Série de casos prospectivos de 17 pacientes consecutivos (idade média de 32,3 anos) com fraturas em martelo (seis do tipo IB e 11 do tipo IIB de Wehbe). Onze (64,7%) pacientes eram do sexo masculino. A mão acometida era a dominante em todos os pacientes, com acometimento do dedo indicador em seis (35,3%), anelar em cinco (29,4%), mínimo em três (17,65%) e médio em três (17,65%) pacientes. O mesmo cirurgião de mão experiente realizou todas as cirurgias. Resultados O tempo operatório médio foi de 37,65 minutos. Após um acompanhamento médio de 10,94 meses (intervalo de 6 a 27), observou-se movimento médio da AIFD de 50° (intervalo de 20° a 70°), retardo de extensão em quatro (23,5%) pacientes e complicações em seis (35,29%) pacientes. De acordo com os critérios de Crawford, os desfechos foram excelentes em seis (35,3%), bons em sete (41,2%) e regulares em quatro (23,5%) pacientes. Conclusão A técnica da placa de gancho modificada para fixação de fraturas em martelo é benéfica e econômica, mas exigente; permite fixação estável e adequada para permitir a movimentação precoce da AIFD com desfechos funcionais aceitáveis.

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Management of Tendon and Bony Injuries of the Distal Phalanx

Liao

2021

Hand Clinics

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Outcome of Hook Plate Fixation of Mallet Fractures

Abstract: Level IV: Retrospective case series, Therapeutic Studies.

Cited by 8 publications

References 12 publications

A new custom-made plate preparation method for bony mallet finger treatment and a comparison with extension block technique

A new custom-made plate preparation method for bony mallet finger treatment and a comparison with extension block technique

Fixação de fraturas em martelo com técnica de placa de gancho modificada: Uma série de casos prospectivos de 17 pacientes

Management of Tendon and Bony Injuries of the Distal Phalanx

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