Objective
To investigate the effectiveness of the terminal extensor tendon reconstrution by palmaris longus tendon graft for the treatment of old mallet finger deformity.
Methods
Between February 2009 and February 2011, 32 patients with old mallet finger deformity were treated with palmaris longus tendon graft. There were 28 males and 4 females with an average age of 32.5 years (range, 22-58 years). The injury causes included sports injury in 26 cases and punctured injury in 6 cases. The index finger was involved in 8 cases, the middle finger in 3 cases, the ring finger in 16 cases, and the little finger in 5 cases. According to the Rockwell’s classification, all patients were classified as type I. The time from injury to operation was 4-16 weeks (mean, 6 weeks).
Results
Primary healing was obtained in all incisions; no necrosis, infection, or nail bed injury occurred. All patients were followed up 12-20 months (mean, 14 months). The patients had no pain or paresthesia of volar finger. According to Patel’s functional assessment system, the results were excellent in 8 cases, good in 21 cases, fair in 2 cases, and poor in 1 case at last follow-up, with an excellent and good rate of 90.6%.
Conclusion
Reconstruction of the terminal extensor tendon by palmaris longus tendon graft is a reliable method to treat old mallet finger deformity.
Citation：
ZHANG Zhi,WU Xiaoman,LU Junfeng,ZHAO Dongsheng.. PALMARIS LONGUS TENDON GRAFT FOR TREATMENT OF OLD MALLET FINGER DEFORMITY. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(6): 726-728. doi: 10.7507/1002-1892.20130160
Copy
Copyright © the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
| 1. |
Garberman SF, Diao E, Peimer CA. Mallet finger: Results of early versus delayed closed treatment. J Hand Surg (Am), 1994, 19(5): 850-852.
|
| 2. |
郭小文, 王义生, 秦小勇, 等. 不同手术方法修复治疗锤状指的对比研究. 右江民族医学院学报, 2012, 34(2): 177-178.
|
| 3. |
Gu YP, Zhu SM. A new technique for repair of acute or chronic extensor tendon injuries in zone 1. J Bone Joint Surg (Br), 2012, 94(5): 668-670.
|
| 4. |
Kaleli T, Ozturk C, Ersozlu S. External fixation for surgical treatment of a mallet finger. J Hand Surg (Br), 2003, 28(3): 228-230.
|
| 5. |
Ulkür E, Açikel C, Ergun O, et al. Repair of chronic mallet finger deformity using Mitek microarc bone anchor. Ann Plast Surg, 2005, 54(4): 393-396.
|
| 6. |
陆向荣, 陆大明, 陆振良, 等. 微型骨锚钉治疗锤状指并发症探讨. 中国矫形外科杂志, 2012, 20(2): 191-192.
|
| 7. |
Katzman SS, Gibeault JD, Dickson K, et al. Use of a Herbert screw for interphalangeal joint arthrodesis. Clin Orthop Relat Res, 1993, (296): 127-132.
|
| 8. |
Rockwell WB, Butler PN, Byrne BA. Extensor tendon: anatomy, injury, and reconstruction. Plast Reconstr Surg, 2000, 106(7): 1592-1603.
|
| 9. |
Patel MR, Desai SS, Bassini-Lipton L. Covservative management of chronic mallet finger. J Hand Surg (Am), 1986, 11(4): 570-573.
|
| 10. |
Makhlouf VM, Deek NA. Surgical treatment of chronic mallet finger. Ann Plast Surg, 2011, 66(6): 670-672.
|
| 11. |
Husain SN, Dietz JF, Kalainov DM, et al. A biomechanical study of distal interphalangeal joint subluxation after mallet fracture injury. J Hand Surg (Am), 2008, 33(1): 26-30.
|
| 12. |
朱立帆, 徐浩, 张晓剑, 等. 锚钉修复法与改良缝合法治疗锤状指的疗效比较. 中国修复重建外科杂志, 2012, 26(9): 1077-1080.
|
- 1. Garberman SF, Diao E, Peimer CA. Mallet finger: Results of early versus delayed closed treatment. J Hand Surg (Am), 1994, 19(5): 850-852.
- 2. 郭小文, 王义生, 秦小勇, 等. 不同手术方法修复治疗锤状指的对比研究. 右江民族医学院学报, 2012, 34(2): 177-178.
- 3. Gu YP, Zhu SM. A new technique for repair of acute or chronic extensor tendon injuries in zone 1. J Bone Joint Surg (Br), 2012, 94(5): 668-670.
- 4. Kaleli T, Ozturk C, Ersozlu S. External fixation for surgical treatment of a mallet finger. J Hand Surg (Br), 2003, 28(3): 228-230.
- 5. Ulkür E, Açikel C, Ergun O, et al. Repair of chronic mallet finger deformity using Mitek microarc bone anchor. Ann Plast Surg, 2005, 54(4): 393-396.
- 6. 陆向荣, 陆大明, 陆振良, 等. 微型骨锚钉治疗锤状指并发症探讨. 中国矫形外科杂志, 2012, 20(2): 191-192.
- 7. Katzman SS, Gibeault JD, Dickson K, et al. Use of a Herbert screw for interphalangeal joint arthrodesis. Clin Orthop Relat Res, 1993, (296): 127-132.
- 8. Rockwell WB, Butler PN, Byrne BA. Extensor tendon: anatomy, injury, and reconstruction. Plast Reconstr Surg, 2000, 106(7): 1592-1603.
- 9. Patel MR, Desai SS, Bassini-Lipton L. Covservative management of chronic mallet finger. J Hand Surg (Am), 1986, 11(4): 570-573.
- 10. Makhlouf VM, Deek NA. Surgical treatment of chronic mallet finger. Ann Plast Surg, 2011, 66(6): 670-672.
- 11. Husain SN, Dietz JF, Kalainov DM, et al. A biomechanical study of distal interphalangeal joint subluxation after mallet fracture injury. J Hand Surg (Am), 2008, 33(1): 26-30.
- 12. 朱立帆, 徐浩, 张晓剑, 等. 锚钉修复法与改良缝合法治疗锤状指的疗效比较. 中国修复重建外科杂志, 2012, 26(9): 1077-1080.
