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Internal Suture for Mallet Finger Fracture

From the Modbury Public Hospital, the Royal Adelaide Hospital and the University of Adelaide, Adelaide, South Australia

Correspondence: G. I. Bain FRACS, 206 Melbourne Street, North Adelaide, South Australia 5006, Australia.

An internal suture technique has been used for mallet finger fractures involving at least 30% of the articular surface. It provides fixation without a button or transfixion of the fragment. An independent retrospective review was conducted of ten patients at a mean follow-up of 17 months. Mean visual analogue score (0 to 10) for pain was 2.4 and satisfaction 7.9. Mean active range of motion was 13 to 49°, passive motion was 2 to 56°, pinch strength of effected finger to thumb was 3.8 kgf (81% of the opposite finger), grip strength 37.9 kgf (95% of the opposite hand). All fractures united and there were no neuromas. Complications included two nail deformities, a superficial infection and a pin track infection. One patient with a crush injury continued to have pain despite an arthrodesis.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 6, 688-692 (1999)
DOI: 10.1054/JHSB.1999.0284


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