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[Sutureless reconstruction of the extensor tendon in mallet finger]
Summary
Early conservative treatment of finger extensor tendon injuries yields good results. Operative reconstruction using Kirschner wire pinning offers effective functional and aesthetic outcomes for severe cases.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Context:
- Lacerations or ruptures of terminal finger extensor tendons can lead to deformities if untreated.
- Conservative management is effective for early-stage injuries.
- Severe functional disturbances necessitate operative intervention.
Purpose:
- To investigate a simple operative procedure for acute extensor tendon ruptures.
- To evaluate the efficacy of Kirschner wire pinning for extensor tendon injuries.
- To document functional and aesthetic outcomes of the operative technique.
Summary:
- A conservative approach is recommended for early extensor tendon injuries.
- Operative reconstruction is indicated for severe cases.
- A procedure involving Kirschner wire pinning of the distal interphalangeal joint in hyperextension was performed on 80 patients, achieving good functional and aesthetic results.
Impact:
- Highlights the benefits of early conservative treatment for extensor tendon injuries.
- Demonstrates a minimally invasive surgical option for severe ruptures.
- Provides evidence for successful functional and aesthetic recovery through operative reconstruction.