Related Experiment Video
Updated: May 6, 2026
Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
Published on: May 23, 2025
A modified tension band wiring technique for treatment of the bony mallet finger
Ryosuke Kakinoki1, Soichi Ohta, Takashi Noguchi
1Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8570, Japan , Department of Rehabilitation Medicine, Kyoto University Hospital, Kyoto 606-8570, Japan.
Purpose:
To report the outcomes of mallet fractures treated with our modified tension band wiring technique.
Methods:
Eleven men and two women (mean age; 33 years) with mallet fractures in which happened more than five weeks before surgery, or with fracture fragments involving more than 2/3 or less than 1/3 of the distal phalanx articular surface or with previous surgical intervention, were subjected to this study. The fracture fragment was fixed with a modified tension band wiring technique using a stainless steel wire and an injection needle.
Results:
All patients achieved bone union in nine weeks in average. All patients had no pain except one with mild pain. No patient showed a gap or step-off greater than 1 mm.
Conclusions:
Our tension band wiring technique can be used regardless of the size of the dorsal fracture fragment or the interval between injury and surgery.
