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Extension block pinning of mallet fractures.

Jörgsholm, Peter LU ; Björkman, Anders LU ; Emmeluth, Claus and Björkman-Burtscher, Isabella LU (2010) In Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi 44(1). p.54-58
Abstract
The operative treatment of mallet fractures of more than one third of the articular surface is controversial. The purpose of this study was to evaluate the complications and functional outcome of extension block pinning technique. Thirty-six consecutive patients with mallet fractures that involved more than one third of the joint surface were treated by extension block pinning a median of 3 days after injury (range 0-35, mean 7). Clinical outcome was graded according to Crawford's criteria. At a median follow-up of 16.5 months (range 2.5-52, mean 20) 23 patients had an excellent or good result, 11 patients had a fair, and 2 patients a poor, clinical outcome according to Crawford's criteria. None of the patients complained of pain. The... (More)
The operative treatment of mallet fractures of more than one third of the articular surface is controversial. The purpose of this study was to evaluate the complications and functional outcome of extension block pinning technique. Thirty-six consecutive patients with mallet fractures that involved more than one third of the joint surface were treated by extension block pinning a median of 3 days after injury (range 0-35, mean 7). Clinical outcome was graded according to Crawford's criteria. At a median follow-up of 16.5 months (range 2.5-52, mean 20) 23 patients had an excellent or good result, 11 patients had a fair, and 2 patients a poor, clinical outcome according to Crawford's criteria. None of the patients complained of pain. The median extension loss was 0 degrees (range 0-20, mean 4) and the median flexion was 70 degrees (range 30-95, mean 68). Eight patients had operative or direct postoperative complications including superficial infection (n = 6), loss of Kirschner wire (K-wire) fixation (n = 1), and K-wire mal position (n = 1). The extension block pinning technique is a minimally invasive method of treating mallet fractures with low morbidity and a good functional outcome. (Less)
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author
organization
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type
Contribution to journal
publication status
published
subject
in
Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi
volume
44
issue
1
pages
54 - 58
publisher
Taylor & Francis
external identifiers
  • WOS:000277078700010
  • PMID:20367064
  • Scopus:77952621324
ISSN
1651-2073
DOI
10.3109/02844310903351327
language
English
LU publication?
yes
id
e6bee9db-ae78-4920-95d8-732a3fc2baed (old id 1595621)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20367064?dopt=Abstract
date added to LUP
2010-05-04 10:18:25
date last changed
2016-11-10 15:51:58
@misc{e6bee9db-ae78-4920-95d8-732a3fc2baed,
  abstract     = {The operative treatment of mallet fractures of more than one third of the articular surface is controversial. The purpose of this study was to evaluate the complications and functional outcome of extension block pinning technique. Thirty-six consecutive patients with mallet fractures that involved more than one third of the joint surface were treated by extension block pinning a median of 3 days after injury (range 0-35, mean 7). Clinical outcome was graded according to Crawford's criteria. At a median follow-up of 16.5 months (range 2.5-52, mean 20) 23 patients had an excellent or good result, 11 patients had a fair, and 2 patients a poor, clinical outcome according to Crawford's criteria. None of the patients complained of pain. The median extension loss was 0 degrees (range 0-20, mean 4) and the median flexion was 70 degrees (range 30-95, mean 68). Eight patients had operative or direct postoperative complications including superficial infection (n = 6), loss of Kirschner wire (K-wire) fixation (n = 1), and K-wire mal position (n = 1). The extension block pinning technique is a minimally invasive method of treating mallet fractures with low morbidity and a good functional outcome.},
  author       = {Jörgsholm, Peter and Björkman, Anders and Emmeluth, Claus and Björkman-Burtscher, Isabella},
  issn         = {1651-2073},
  language     = {eng},
  number       = {1},
  pages        = {54--58},
  publisher    = {ARRAY(0x8d338a8)},
  series       = {Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi},
  title        = {Extension block pinning of mallet fractures.},
  url          = {http://dx.doi.org/10.3109/02844310903351327},
  volume       = {44},
  year         = {2010},
}