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Open accurate reduction for irreducible mallet fracture through a novel pulp traction technique with primary tendon repair

Other Titles
 비관혈적 정복이 불가능한 골성 추지의 수지 말단부 펄프 견인과 일차적 신전건 봉합술을 이용한 관혈적 정복술 
Issue Date
2012
Description
Dept. of Medicine/석사
Abstract
Sixteen patients with bony mallet fingers were treated by a new technique of open reduction through a T-shaped dorsal incision and oblique wire fixation via pulp traction with additional primary extensor repair. Surgical indications included fractures with intra-articular involvement over 1/3 of the articular surface, distal phalanx subluxation and displacement greater than 3mm, irreducible by extension block pinning. The cases were analyzed prospectively for a mean follow up period of 12 months. The results were evaluated using Crawford’s criteria. Eleven cases were evaluated as excellent, 3 cases as good and 2 cases as fair. Complications included 3 cases with transient nail deformity, 2 cases with flexion limitation of 5 degrees and 10 degrees, and three cases with extension lag between 5 to 10 degrees. This novel method of accurate reduction achieves good clinical outcomes with comparatively less complications in mallet fractures irreducible to closed extension block reduction.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/133829
Appears in Collections:
2. 학위논문 > 1. College of Medicine (의과대학) > 석사
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