Kakinoki Ryosuke, Ohta Soichi, Noguchi Takashi, Kaizawa Yukitoshi, Itoh Hiromu, Duncan Scott F, Matsuda Shuichi
Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8570, Japan , Department of Rehabilitation Medicine, Kyoto University Hospital, Kyoto 606-8570, Japan.
Hand Surg. 2013;18(2):235-42. doi: 10.1142/S0218810413500299.
To report the outcomes of mallet fractures treated with our modified tension band wiring technique.
Eleven men and two women (mean age; 33 years) with mallet fractures in which happened more than five weeks before surgery, or with fracture fragments involving more than 2/3 or less than 1/3 of the distal phalanx articular surface or with previous surgical intervention, were subjected to this study. The fracture fragment was fixed with a modified tension band wiring technique using a stainless steel wire and an injection needle.
All patients achieved bone union in nine weeks in average. All patients had no pain except one with mild pain. No patient showed a gap or step-off greater than 1 mm.
Our tension band wiring technique can be used regardless of the size of the dorsal fracture fragment or the interval between injury and surgery.
