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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
Dept. of Medicine/석사
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.
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2. 학위논문 > 1. College of Medicine (의과대학) > 석사
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