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논문 기본 정보

자료유형
학술저널
저자정보
Sung Hoon Koh (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Jung Hyun Park (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Jin Soo Kim (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Si Young Roh (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Kyung Jin Lee (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Dong Chul Lee (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko)
저널정보
대한수부외과학회 Archives of Hand and Microsurgery Archives of Hand and Microsurgery Vol.26 No.4
발행연도
2021.12
수록면
238 - 244 (7page)
DOI
10.12790/ahm.21.0129

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Purpose: The purpose of this study is to investigate osteoarthritis after treatment of bony mallet finger using the extension block method. Methods: A single institutional retrospective review identified 163 patients with bony mallet between January 2012 and July 2020 and received surgical treatment using extension block method. The radiographic examination showed that the fracture line disappeared and a bridging callus was formed and bone union was confirmed. Fractures were classified according to the Tubiana classification method. Demographic data, fracture pattern, postoperative X-ray, and late complications were analyzed. Clinical outcomes were analyzed using Crawford’s criteria. Results: Surgical treatment was performed within an average of 8.8 days after injury, and the average follow-up period was 11.6 weeks. Osteoarthritis findings were confirmed by joint space narrowing and osteophytes on radiographic examination of 32 out of 163 patients. Age, sex, occupation, location of trauma, operation time, and type of fracture did not affect the osteoarthritis after extension block. Invasion of Kirschner wire (K-wire) to the fracture surface, family history of osteoarthritis, and operation time turned out to have a statistically significant effect on osteoarthritis (p<0.05). Conclusion: Fracture surface invasion of K-wire and family history of osteoarthritis affect osteoarthritis after treatment of bony mallet.

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