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Journal of Hand Surgery (British and European Volume)
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Articles

Treatment of Mallet Finger Fractures by the Extension-Block K-Wire Technique

A. DARDER-PRATS
E. FERNANDEZ-GARCIA
R. FERNANDEZ-GABARDA
A. DARDER-GARCIA

From the Department of Orthopaedic Surgery, Hospital Clinico Universitario, Valencia, Spain

Correspondence: Dr A Darder-Prats, G V. Marqués del Turia 8- 3d, 46005 Valencia, Spain.

We treated 22 patients with mallet finger fractures involving more than one-third of the articular surface by the extension-block K-wire technique. There were 18 men and four women with a mean age of 23 years (range, 14–34). The Wehbé and Schneider method was used to classify the fractures and the results were graded according to Crawford’s criteria. All the fractures united, with an average healing time of 5.6 weeks (range, 4–7). At a mean follow-up of 25 months (range, 18–48) 21 mallet finger fractures had an excellent or good result. One patient had a fair result with a lag to extension of 20°. We conclude that the extension-block K-wire technique is an effective method of treatment for displaced mallet finger fractures.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 6, 802-805 (1998)
DOI: 10.1016/S0266-7681(98)80102-2
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 J Bone Joint Surg BrHome page
Y. H. Lee, J. Y. Kim, M. S. Chung, G. H. Baek, H. S. Gong, and S. K. Lee
Two extension block Kirschner wire technique for mallet finger fractures
J Bone Joint Surg Br, November 1, 2009; 91-B(11): 1478 - 1481.
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