Warren R A, Kay N R, Ferguson D G
Royal Hallamshire Hospital, Sheffield.
J Hand Surg Br. 1988 May;13(2):159-60. doi: 10.1016/0266-7681_88_90127-1.
Sixty-nine patients with mallet finger who failed to be cured by a period of splintage were offered either tenodermodesis or Kirschner wire fixation of the DIP joint. Eleven (16%) accepted the offer and eight of these were significantly improved. Of those patients declining surgery, 30 were available for review after a minimum period of six months; of these 13 (43%) had undergone a significant spontaneous improvement.
69例经一段时间夹板固定治疗未愈的锤状指患者,被提供了两种治疗选择:一种是远节指间关节腱固定术,另一种是克氏针固定术。11例(16%)接受了该治疗方案,其中8例有明显改善。在拒绝手术的患者中,30例在至少6个月后接受了复查;其中13例(43%)出现了显著的自发改善。