Modification of the extension block Kirschner wire technique for mallet fractures

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dc.contributor.authorTetik, C.
dc.contributor.authorGüdemez, E.
dc.date.accessioned2020-06-25T17:34:57Z
dc.date.available2020-06-25T17:34:57Z
dc.date.issued2002
dc.departmentKırıkkale Üniversitesi
dc.descriptionAnnual Meeting of the Knee-Society/Association of-Hip-and-Knee-Surgeons -- 2002 -- DALLAS, TEXAS
dc.description.abstractA modification of the extension block Kirschner wire technique that is used for closed reduction of mallet fractures is described. Eighteen mallet avulsion fractures of the distal phalanx treated with this modification were included in this prospective study. The fingers affected were nine small fingers, eight ring fingers, and one long finger. Surgical indications included fractures involving more than 33% of the articular surface and fractures associated with subluxation of the distal phalanx that could not be corrected by closed reduction. The average joint surface involvement was 39.8%. At followup, only one patient had pain, and that was graded as minimal. Objectively, congruous and satisfactory joint surfaces were present in 17 patients. No patient had pseudarthrosis. The average active flexion of the distal interphalangealjoint was 81.1degrees and the average extensor lag was 1.6degrees. Neither pin tract infections nor migration of the pins occurred. The average followup was 27.3 months. This modification increased range of motion at the distal interphalangeal joint and showed a trend toward reduced permanent extensor lag when compared with the original method. This technique should be considered when treatment of the mallet fracture is being planned using the extension block Kirschner wire technique.en_US
dc.description.sponsorshipKnee Soc, Assoc Hip & Knee Surgeonsen_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1097/01.blo.0000030174.56585.41
dc.identifier.endpage290en_US
dc.identifier.issn0009-921X
dc.identifier.issue404en_US
dc.identifier.pmid12439271
dc.identifier.startpage284en_US
dc.identifier.urihttps://doi.org/10.1097/01.blo.0000030174.56585.41
dc.identifier.urihttps://hdl.handle.net/20.500.12587/2962
dc.identifier.wosWOS:000179273100043
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofClinical Orthopaedics And Related Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleModification of the extension block Kirschner wire technique for mallet fracturesen_US
dc.typeArticle

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