Vernet Paul, Igeta Yuka, Facca Sybille, Toader Horia, Hidalgo Diaz Juan José, Liverneaux Philippe
Department of Hand Surgery, SOS Main, CCOM, Icube CNRS, 7357, University Hospital of Strasbourg, FMTS, University of Strasbourg, 10 Avenue Baumann, 67400, Illkirch, France.
Department of Orthopedic Surgery, Juntendo University, Tokyo, Japan.
Eur J Orthop Surg Traumatol. 2019 Apr;29(3):591-596. doi: 10.1007/s00590-018-2349-x. Epub 2018 Nov 28.
The goal of this study was to compare the results of a Stack splint compared to a dorsal glued splint in the treatment of tendinous mallet fingers. Our series included 100 patients, aged 47 years in average, among which 40 are women, with a 9-week follow-up. The first 50 patients (group I) were treated with a dorsal glued splint, and the 50 following patients (group II) were treated with a Stack splint. The average lack of active extension of the distal phalanx was 3.1° in group I and 1.74° in group II. The average pain was rated 0.22/10 in group I and 0.26/10 in group II. There were seven cases of nail dystrophies, 18 cases of macerations and five cases of swan neck deformities in group I. There were six cases of macerations and four cases of swan neck deformities in group II. The dorsal nail-glued splint gives comparable results to the Stack splint with the added advantage of leaving the fingertip free.
本研究的目的是比较Stack夹板与背侧粘贴夹板治疗锤状指肌腱损伤的效果。我们的研究系列包括100名平均年龄为47岁的患者，其中40名女性，随访期为9周。前50名患者（第一组）采用背侧粘贴夹板治疗，后50名患者（第二组）采用Stack夹板治疗。第一组远节指骨主动伸展平均缺失3.1°，第二组为1.74°。第一组平均疼痛评分为0.22/10，第二组为0.26/10。第一组有7例指甲营养不良、18例浸渍和5例鹅颈畸形。第二组有6例浸渍和4例鹅颈畸形。背侧指甲粘贴夹板与Stack夹板效果相当，且具有指尖自由的额外优势。
