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자료유형
학술저널
저자정보
Il Seo (Department of Orthopedic Surgery Chilgok Catholic Hospital Daegu Korea) Kang-San Lee (Department of Orthopedic Surgery Kyungpook National University Hospital Daegu Korea) 정승호 (Department of Orthopedic Surgery Kyungpook National University Hospital Daegu Korea) Sang-Woo Son (Department of Orthopedic Surgery Kyungpook National University Hospital Daegu Korea) Hyun Joo Lee (Department of Orthopaedic Surgery School of Medicine Kyungpook National University Daegu Korea)
저널정보
대한수부외과학회 Archives of Hand and Microsurgery Archives of Hand and Microsurgery Vol.28 No.2
발행연도
2023.6
수록면
93 - 96 (4page)
DOI
10.12790/ahm.23.0009

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Purpose: Although closed reduction and extension block pinning have been widely used for acute mallet finger fracture, the problem of reduction remains a concern. We describe a tip for the reduction technique using a towel clamp, which provides a longitudinal traction force to the distal phalanx, and report the results of the technique. Methods: The medical records of 14 consecutive cases from 12 patients with acute mallet fractures were retrospectively reviewed. Reduction was achieved using the towel clamp reduction technique. The radiologic results were evaluated by simple radiographs, the functional results were analyzed in terms of range of motion, and remaining pain was assessed using Crawford criteria. Results: The mean follow-up period was 8.4 months. The mean union duration was 6 weeks. The mean range of motion was 73°. Eight cases had excellent outcomes, one had good outcomes, four had fair outcomes, and one had poor outcomes. One case of superficial infection and one case of skin necrosis developed, and three cases showed arthritic changes in the distal interphalangeal joint. Conclusion: The towel clamp technique can provide good reduction during surgery, with favorable radiologic and clinical results.

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