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Cable Subjected to a Distributed Load01:24

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Central Slip Repair using Trans-articular K-wires: A Comparative Study.

S Carr1, P J O'Donoghue1, A Bowe2

  • 1Department Plastic & Reconstructive Surgery Galway University Hospital, GUH.

JPRAS Open
|August 18, 2023
PubMed
Summary

Central slip repair outcomes are similar whether using K-wire immobilization or external splinting. Both methods provide comparable functional results for proximal interphalangeal joint dysfunction.

Keywords:
Central Slip RepairExtensor injuryK-WireRepair

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Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Traumatology

Background:

  • Central slip disruption can lead to proximal interphalangeal (PIP) joint dysfunction and significant morbidity.
  • Evidence for specific surgical management is limited, but early PIP joint mobilization is favored.

Purpose of the Study:

  • To compare functional outcomes of central slip repair using internal K-wire splinting with complete immobilization versus external splinting only.
  • To assess the impact of immobilization techniques on PIP joint function after central slip repair.

Main Methods:

  • A single-center retrospective analysis of 44 patients undergoing operative central slip repair over 5 years.
  • Data collected included demographics, range of motion, and total active motion (TAM) scores.
  • Patients were divided into two groups: internal K-wire splinting (n=11) and external splinting only (n=33).

Main Results:

  • No significant difference in mean total active motion (TAM) was found between the K-wire group (187.4°) and the no K-wire group (202.1°).
  • Mean TAM percentage scores were also comparable: 72.1% for the K-wire group versus 78.0% for the no K-wire group.
  • The study observed no statistically significant difference in functional outcomes between the two splinting methods.

Conclusions:

  • Central slip repair with internal K-wire splinting and complete immobilization yields comparable functional outcomes to external splinting alone.
  • Both immobilization techniques appear effective in managing central slip injuries, suggesting flexibility in treatment approaches.