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Tenodermodesis for established mallet finger deformity.

Elliot D Sorene1, David R Goodwin

  • 1Hand Surgery Unit, Tel Aviv Sourasky Medical Centre, affiliated to Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel. eliots@tasmc.health.gov.il

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
|April 13, 2004
PubMed
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Tenodermodesis effectively treats mallet finger deformities by repairing extensor tendon injuries. This surgical technique significantly reduces extension lag while preserving flexion, leading to excellent patient satisfaction and functional outcomes.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Mallet finger deformity results from extensor tendon injury.
  • Established deformities pose treatment challenges.

Purpose of the Study:

  • To evaluate the efficacy of tenodermodesis for established mallet finger deformities.
  • To assess functional outcomes and patient satisfaction after the procedure.

Main Methods:

  • Sixteen patients with mallet finger deformity underwent tenodermodesis.
  • Distal interphalangeal joint fixation with Kirshner wire was performed.
  • Patients were followed for a mean of 36 months.

Main Results:

  • Excellent results in 8 patients, good in 6, and fair in 2.

Related Experiment Videos

  • Mean extension lag decreased from 50 to 9 degrees.
  • Flexion capacity was not impaired; patient satisfaction was high.

    • Conclusions:

    • Tenodermodesis is a recommended, effective, and safe surgical option.
    • The procedure yields consistently successful results for suitable cases.
    • It offers good functional and cosmetic outcomes for mallet finger deformities.