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Surgical Treatment Options for Unstable Mallet Fractures

Article in Plastic and Reconstructive Surgery · August 2011

Abstract:

Management of mallet fractures is still a matter of discussion throughout the literature. For some authors, mallet fractures involving more than 1/3 of the articular surface and palmar subluxation of the distal phalanx require surgical treatment.

In this study we retrospectively compared three different techniques for mallet fractures: Kirschner wire fixation with extension block pinning of the distal interphalangeal joint (EBP), Kirschner wires used as joysticks (KWJ) and interfragmentary mini-screws for open reduction and internal fixation (ORIF).

mallet finger fracture xray
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Cite this article: Lucchina, Stefano & Badia, Alejandro & Nistor, Alexandru & Fusetti, Cesare. (2011). Surgical Treatment Options for Unstable Mallet Fractures. Plastic and reconstructive surgery. 128. 599-600; author reply 600. 10.1097/PRS.0b013e31821ef004. 

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