A new clinical classification and the corresponding treatment of Mallet finger
DU Dong, PENG Yong-Jing, FU Xiao-Kuan, FU Jiang, FANG Ti-Che
Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (4) : 494-496.
A new clinical classification and the corresponding treatment of Mallet finger
Objective To analyze various clinical parting of mallet finger, put forward different views of parting, and practice corresponding treatment method with their curative effects analyzed. Methods Along with the treatment advances of the mallet finger, we put forward new clinical classification by modification on the past classification, and determines the corresponding treatment measures according to the different classfication. From February 2009 to December 2013, 52 cases with mallet finger deformity were treated. 20 cases received conservative treatment, 6 cases were successful and others need surgical correction. 52 cases were operated according to the new classificaion:36 cases were treated by mini Anchors;4 cases were treated by pullout steel wire with button;3 cases were treated with Single screw;6 cases were treated by direct suture;3 case was treated by fusion of joint. Results The patients were followed from 4 months to 30 months. The results were excellent in 28 patients, better in 21, good in 6, and fair in 3 according with Palel’s evaluation standards. Conclusion It can determine clinical classification and operation method of the mallet finger before operation according to the medical history and X-ray, clinical cases confirmed that new cliassification is practical and satisfactory.
Mallet finger / Classification / Corresponding treatment / Mini Anchors
[1] 李瑞华,许效坤.锤状指治疗的国内进展
[J].中国误诊学杂志,2008,8(18):4299-4300.
[2] 傅炳峨,陆裕朴,史少敏. 实用骨科学
[M].第3版.北京:人民军医出版社,2005:508.
[3] Wehbe MA. Schneider LH. Mallet fractures
[J]. J Bone Joint Surg(Am),1984,66:658~669.
[4] 方光荣,程国良,袁光海,等.垂直钢针固定治疗锤状指
[J].修复重建外科杂志, 1991,5(4):201-202.
[5] 顾玉东,王澍寰,侍德.手外科手术学
[M].上海:复旦大学出版社,2011:616.
[6] 杨涛,宫云霞,陈传煌,等.锤状指畸形的分型和手术治疗方法的分析
[J].实用手外科杂志, 2009, 23(4):249-250.
[7] 刘璠,侍德.槌状指的手术治疗
[J].中华手外科杂志,1995,11(1):11-13.
[8] 刘志刚, 路来金,于家傲,等.伸指腱器终腱的形态特点及其临床意义
[J].中国临床解剖学杂志, 2002,20(4):253-255.
[9] Warren RA. The microvascular anatomy of the distal digital extensor tendon
[J]. Hand Surg Br, 1988, 13(2): 161-163.
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