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KMID : 0386419990120041021
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Journal of the Korean Fracture Society
1999 Volume.12 No. 4 p.1021 ~ p.1026
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A Comparision of Conservative and Operative Treatments in the Bony Mallet Finger
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Choi Ik-Su
Roh Su-In
Ha Hong-Ju
Kang Jin-Goo
Kim Dae-Yeon
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Abstract
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Mallet finger is a commom deformity caused by disruption of the extensor mechnism at thedorsal base of the distal phalanx. Patients can by managed by either conservative or operative treatment depending on somefactors, such as the fracture type and interval from injury to medical treatment. However,whether to perform conservative or operative treatment is in debate. We conducted this study to compare the results of conservative and operative treatment ofmallet finger caused by intra-articular fracture of the distal phalanx, with not mere than one thirdof the articular surface of the distal phalanx involved. From March 1994 to April 1999, we experienced 26 cases of bony mallet fingers. Followingare the results. 1. The result by Kanies scale was satisfactory in 9 cases of 12 in conservativetreatment(75%), and 10 cases of 14 in operative treatment(71%)(P>0.05). 2. The result was satisfactory in 8 cases of 10 in patients who were treated within 2weeks(80%), and 4 cases of 7 in those treated after 4 weeks(57%)(P<0.05). 3. Conservative treatment was more cost effective, easier to perform compared to operativetreatment. Thus, we suggest conservative treatment as the better treatment method for bonymallet finger with ont more than one third of the articular surface of the distal phalanx involved.
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KEYWORD
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Mallet finger, Conservative and Surgical treatment
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