{Reference Type}: Journal Article
{Title}: Quick and safe: why a k-wire-extension-block-fixation of a bony mallet finger is the favoured treatment.
{Author}: Stumpfe MC;Suffa N;Merkel P;Ludolph I;Arkudas A;Horch RE;
{Journal}: Arch Orthop Trauma Surg
{Volume}: 144
{Issue}: 3
{Year}: 2024 Mar 26
{Factor}: 2.928
{DOI}: 10.1007/s00402-023-05119-y
{Abstract}: BACKGROUND: Mallet fingers are the most common tendon injuries of the hand. Bony avulsion distal finger extensor tendon ruptures causing a mallet finger require special attention and management. In this monocentral study, we analyzed the clinical and individual outcomes succeeding minimal invasive k-wire extension block treatment of bony mallet fingers.
METHODS: In a retrospective study, we sent a self-designed template and a QUICK-DASH score questionnaire to all patients, who were treated because of a bony mallet finger between 2009 and 2022 and fulfilled the inclusion criteria. A total of 244 requests were sent out. 72 (29.5%) patients participated in the study. Forty-five men and twenty-seven women were included.
RESULTS: 98.7% (n = 75) of the cases were successfully treated. Patients were highly satisfied with the treatment (median 8.0; SD ± 2.9; range 1.0-10.0). Based on the QUICK-DASH score, all patients showed no difficulties in daily life. The extent of avulsion did not influence the outcome.
CONCLUSIONS: We conclude that the minimally invasive treatment of a bony mallet finger should be offered to every patient, because it is safe, fast, and reliable. Thus, we propose to perform extension-block pinning independently of the articular area.