Universität zu Köln

Mehling, I., Rudig, L., Mueller, L. P., Mehling, A. P., Kretzer, T. and Rommens, P. M. (2014). Treatment of phalangeal fractures using the mini-hook plate. An alternative for surgical fixation of small phalangeal bone fragments? Unfallchirurg, 117 (2). S. 138 - 145. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

Fixation of the small bony fragments of the phalanges is often difficult. In this study a clinical and radiological evaluation was carried out after operative treatment using the mini-hook plate. Between 2003 and 2006 a total of 36 fractures were treated operatively using the mini-hook plate. Of the patients 24 had an basal avulsion fracture of the distal phalanx and 11 patients (12 fractures) had other bony avulsion fractures of the phalanges. The patients were evaluated clinically and radiologically as well as using the disabilities of the arm, shoulder and hand (DASH) questionnaire. A total of 29 patients with 30 fractures were examined. The mean follow-up was 13.6 months. The mean range of motion in the affected finger joint was 60.3 A degrees and the mean DASH score was 2.8 points. Postoperatively five nail growth defects, one infection and one secondary dislocation of the implant were observed. Using the mini-hook plate, preservation of the joint and stable internal fixation with no need for temporary arthrodesis is possible; however, prerequisites are experience and skill of the surgeon with a difficult surgical technique.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Mehling, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rudig, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mehling, A. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kretzer, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rommens, P. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-446955
DOI:	10.1007/s00113-013-2433-y
Journal or Publication Title:	Unfallchirurg
Volume:	117
Number:	2
Page Range:	S. 138 - 145
Date:	2014
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-044X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MALLET FINGER FRACTURES; AVULSION FRACTURES; WIRE TECHNIQUE; HAND Multiple languages Emergency Medicine; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/44695