Related Experiment Video
Updated: Nov 12, 2025
08:27
Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
Published on: May 23, 2025
461
Kirscner wire fixation versus suture anchor technique for mallet finger: A meta-analysis
Yongjing Huang1, Ke Wu, Haifeng Shi
1Department of Hand Surgery, Wuxi 9th People's Hospital Affiliated to Soochow University, Wuxi, China.
Medicine
|March 17, 2021
Summary
Kirschner wire fixation for mallet finger injuries shows fewer complications and is more cost-effective than suture anchor techniques. While effectiveness is similar, wire fixation is a preferred surgical option.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Trauma Surgery
Background:
- Mallet finger injuries are common hand trauma.
- Various surgical techniques exist, but consensus on the optimal method is lacking.
- Comparing Kirschner wire fixation and suture anchor techniques is crucial for treatment guidelines.
Purpose of the Study:
- To systematically compare the effectiveness and safety of Kirschner wire fixation versus suture anchor technique for mallet finger injuries.
- To identify the optimum surgical option for treating mallet finger lesions.
Main Methods:
- A meta-analysis of literature published up to December 31, 2019.
- Searched multiple databases for studies comparing Kirschner wire fixation and suture anchor techniques.
- Included 8 trials (4 RCTs, 4 prospective studies) with 362 cases.
Main Results:
- Kirschner wire fixation demonstrated significantly fewer complications compared to suture anchor technique (P < .05).
- No significant differences were observed in total active range of motion, extensor lag, pain scores (VAS), recurrence, or functional outcomes.
- Both techniques showed comparable effectiveness in overall functional recovery.
Conclusions:
- Kirschner wire fixation is a potentially better alternative due to lower cost and fewer complications.
- Effectiveness is similar between the two methods, but further high-quality RCTs are needed.
- A cautious approach is advised when selecting surgical management for mallet finger injuries.
