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Mallet finger: a trial of two splints.

R A Warren¹, S H Norris, D G Ferguson

¹Royal Hallamshire Hospital, Sheffield.

Journal of Hand Surgery (Edinburgh, Scotland)

|May 1, 1988

Summary

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This study compared Stack and Abouna splints for mallet finger treatment. Both splints showed similar effectiveness, with about 50% of patients achieving good results, but the Stack splint was preferred for comfort and ease of use.

Area of Science:

Orthopedic surgery
Hand surgery
Traumatology

Background:

Mallet finger is a common hand injury affecting the extensor tendon.
Optimal splinting is crucial for successful mallet finger treatment outcomes.
Patient preference and compliance can influence treatment success.

Purpose of the Study:

To compare the effectiveness of Stack splints versus Abouna splints in treating mallet finger.
To assess patient preference and satisfaction with each type of splint.

Main Methods:

A randomized controlled trial involving 116 patients with mallet finger.
Patients were treated with either a Stack splint or an Abouna splint over twelve months.
Outcomes included clinical cure or significant improvement and patient-reported comfort, robustness, and ease of cleaning.

Related Experiment Videos

Main Results:

Both splints demonstrated comparable efficacy, with approximately 50% of patients experiencing a cure or significant improvement.
The Stack splint was significantly preferred by patients.
Patients reported the Stack splint as more comfortable, robust, and easier to maintain.

Conclusions:

The Stack and Abouna splints are equally effective for mallet finger treatment.
The Stack splint offers superior patient comfort and usability, suggesting it may improve compliance and overall treatment experience.