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[Kirner's disease: surgical treatment]
1Département de Chirurgie Générale et Service de Chirurgie de la Main, Hôpital Saint-Paul, Savona, Italie.
Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
|January 1, 1982
Summary
Kirner's deformity, a rare congenital condition affecting the fifth finger, can be successfully treated surgically. Both intraosseous and extraosseous pinning techniques yielded satisfactory long-term results for this meta-diaphysal dysplasia.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Surgical Techniques
Background:
- Kirner's deformity is a rare congenital meta-diaphysal dysplasia affecting the fifth finger's phalanx.
- Its pathogenesis remains unclear, and surgical interventions are infrequently documented.
- Congenital, bilateral presentation is typical.
Observation:
- A case of Kirner's deformity was treated using Bonola's technique.
- One finger underwent triangular diaphysal resection with centromedullary pinning.
- The contralateral finger was treated with extra-osseous pinning.
Findings:
- Both surgical fixation techniques resulted in satisfactory long-term outcomes.
- No significant difference in results was observed between intraosseous and extraosseous pinning methods.
- Bonola's technique offers a viable surgical option for Kirner's deformity.
Implications:
- This study suggests Bonola's technique is effective for Kirner's deformity.
- It highlights the comparable efficacy of different fixation methods in surgical correction.
- Further research may elucidate the optimal surgical approach for this rare condition.