Stern P J, Kastrup J J
Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Ohio.
J Hand Surg Am. 1988 May;13(3):329-34. doi: 10.1016/s0363-5023(88)80002-9.
This study reviews complications of treatment in 123 mallet fingers treated operatively and nonoperatively. In the 84 digits splinted there was a 45% rate of complications, mostly skin related; however, these complications were almost always transient. For the 45 surgically treated digits the complication rate was 53%, with 76% of these complications still present at a mean follow-up of 38 months. Six digits treated initially with splinting (minimum of 6 weeks) and later with surgery were included in both groups. Major complications in the patients undergoing surgery included deep infection (4%), joint incongruity (18%), and nail deformity (18%). In addition, seven patients (16%) required reoperation, and all of these had an unsatisfactory result except that in one finger the outcome was unknown.
本研究回顾了123例接受手术和非手术治疗的锤状指的治疗并发症。在84例采用夹板固定的手指中，并发症发生率为45%，主要与皮肤相关；然而，这些并发症几乎都是短暂性的。对于45例接受手术治疗的手指，并发症发生率为53%，在平均38个月的随访时，其中76%的并发症仍然存在。最初采用夹板固定（至少6周）、后来接受手术治疗的6例手指被纳入两组。接受手术的患者的主要并发症包括深部感染（4%）、关节不平整（18%）和指甲畸形（18%）。此外，7例患者（16%）需要再次手术，除1例手指的结果未知外，所有这些患者的结果均不理想。
