Tenodermodesis for chronic mallet finger deformities in children

Area of Science:

• Orthopedic surgery
• Pediatric hand surgery
• Reconstructive procedures

Background:

• Chronic mallet finger deformities in children present unique treatment challenges.
• Tenodermodesis, a reconstructive procedure, has been previously used for adult chronic mallet fingers.

Purpose of the Study:

• To present the technique of tenodermodesis for treating chronic mallet finger injuries in the pediatric population.
• To evaluate the preliminary clinical outcomes of tenodermodesis in children.

Main Methods:

• The tenodermodesis technique involves meticulous repair of the extensor mechanism.
• Temporary transarticular Kirschner wire fixation of the distal interphalangeal joint is utilized.
• The procedure is adapted for the pediatric population, considering skeletal growth.

Main Results:

• Preliminary clinical results are encouraging, demonstrating high patient and parent satisfaction.
• The procedure is associated with a low complication rate.
• Anatomical reconstruction of the extensor mechanism was achieved in most cases.

Conclusions:

• Tenodermodesis is a viable and effective surgical option for chronic mallet finger deformities in children.
• The procedure successfully preserves skeletal growth and distal interphalangeal joint motion.
• This technique offers a reconstructive solution with favorable preliminary outcomes for pediatric patients.