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SA Orthopaedic Journal

On-line version ISSN 2309-8309
Print version ISSN 1681-150X

Abstract

SOLOMONS, M  and  ISAACS, S. Intraosseous suture technique with K-wire stabilisation for fixation of mallet fracture with DIPJ volar subluxation. SA orthop. j. [online]. 2017, vol.16, n.3, pp.70-73. ISSN 2309-8309.  http://dx.doi.org/10.17159/2309-8309/2017/v16n3a10.

BACKGROUND: Mallet fracture with distal interphalangeal joint (DIPJ) subluxation remains a challenging problem, with numerous techniques proposed for repair of this fracture. METHODS: The authors present a modified approach to mallet fractures with volar subluxed DIPJ by K-wire fixation and intraosseus suture of the avulsed extensor tendon. RESULTS: The described technique resulted in successful clinical management of 12 patients with isolated mallet fractures with volar subluxation with 1/12 patients having a complication of stable non-union CONCLUSIONS: The intraosseous suture technique with K-wire stabilisation offers a simple and reproducible technique of fracture reduction and stabilisation of volar subluxed DIPJ mallet fractures.

Keywords : mallet fractures; DIPJ volar subluxation; surgical technique; mallet injury; K-wire stabilisation.

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