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Delayed Single Kirschner Wire Compression Technique for Mallet FractureFrom the Department of Trauma Surgery and Sports Medicine, Innsbruck Medical University, Austria Correspondence: * Dr Dagmar Fritz, Department of Trauma Surgery and Sports Medicine, Medical University, Anichstr.35, 6020 Innsbruck, Austria. Tel.: +43 512 504 22821; fax: +43 512 504 22824 E-mail: dagmar.fritz{at}uibk.ac.at Twenty-four mallet fractures which involved at least one third % of the articular surface of the distal interphalangeal joint were treated by open reduction and internal fixation using a single double-ended Kirschner wire at a mean of 9 days after injury (range 4–15). At a mean follow-up of 43 (range 12–18) months the active range of motion, pain and the Warren and Norris criteria were evaluated. The mean active range of motion was from –2° extension (range 0–10°) to 72° flexion (range 50–90°). Nineteen patients were pain free and five suffered from mild pain during strenuous work. The Warren and Norris results were successful in 22 and improved in two cases. Radiographs showed, that all the fractures united in a near-anatomic position but with joint narrowing in six digits.
Key Words: mallet fracture • subluxation or dislocation of the distal interphalangeal joint • open reduction • anatomic fixation • single Kirschner wire technique
Journal of Hand Surgery (British and European Volume), Vol. 30, No. 2,
180-184 (2005) |
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