Reconstruction of Chronic Soft Tissue Mallet Fingers: Outcomes of Step-Plasty vs. Purse-String Suture
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Surgical Procedures
2.3. Postoperative Care
3. Results
Complications
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Crawfords’s Evaluation Criteria (1984) [26] | |||||
---|---|---|---|---|---|
Grade | Excellent | Good | Fair | Poor | |
Description | Full DIP joint extension, full flexion, no pain | 0–10 degrees of extension deficit, full, flexion, no pain | 10–25 degrees of extension deficit, any flexion loss, no pain | More than 25 degrees of extension deficit, or persistent pain | |
Levantes’s Evaluation Criteria (2003) [27] | |||||
Grade | Very good | Good | Middle | Bad | Failure |
Description | ED < 5°, CAM > 60° | ED < 15°, CAM > 50° | ED < 25°, CAM > 40° | ED < 35°, CAM > 30° | ED < 40°, CAM < 20° |
Operative Procedure | Excellent | Good | Fair | Poor | Complications |
---|---|---|---|---|---|
step-plasty | 10 24% | 17 41% | 12 28% | 3 7% | 2 (osteitis) 3%. |
purse-string | 8 22% | 6 16% | 16 43% | 7 19% | 1 (dystrophic reaction) |
Operative Procedure | Very Good | Good | Middle | Bad | Failure |
---|---|---|---|---|---|
step-plasty | 10 24% | 18 42% | 7 17% | 7 17% | - - |
purse-string | 7 19% | 7 19% | 14 37% | 6 17% | 3 8% |
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Demmer, W.; Frick, A.; Baumeister, R.G.H.; Haas-Lützenberger, E.; Thierfelder, N.; Mert, S.; Ehrl, D.; Giunta, R.; Stäuble, C.G. Reconstruction of Chronic Soft Tissue Mallet Fingers: Outcomes of Step-Plasty vs. Purse-String Suture. J. Funct. Morphol. Kinesiol. 2024, 9, 144. https://doi.org/10.3390/jfmk9030144
Demmer W, Frick A, Baumeister RGH, Haas-Lützenberger E, Thierfelder N, Mert S, Ehrl D, Giunta R, Stäuble CG. Reconstruction of Chronic Soft Tissue Mallet Fingers: Outcomes of Step-Plasty vs. Purse-String Suture. Journal of Functional Morphology and Kinesiology. 2024; 9(3):144. https://doi.org/10.3390/jfmk9030144
Chicago/Turabian StyleDemmer, Wolfram, Andreas Frick, Rüdiger G. H. Baumeister, Elisabeth Haas-Lützenberger, Nikolaus Thierfelder, Sinan Mert, Denis Ehrl, Riccardo Giunta, and Christiane G. Stäuble. 2024. "Reconstruction of Chronic Soft Tissue Mallet Fingers: Outcomes of Step-Plasty vs. Purse-String Suture" Journal of Functional Morphology and Kinesiology 9, no. 3: 144. https://doi.org/10.3390/jfmk9030144