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  • Title: A modified tension band wiring technique for treatment of the bony mallet finger.
    Author: Kakinoki R, Ohta S, Noguchi T, Kaizawa Y, Itoh H, Duncan SF, Matsuda S.
    Journal: Hand Surg; 2013; 18(2):235-42. PubMed ID: 24164129.
    Abstract:
    PURPOSE: To report the outcomes of mallet fractures treated with our modified tension band wiring technique. METHODS: Eleven men and two women (mean age; 33 years) with mallet fractures in which happened more than five weeks before surgery, or with fracture fragments involving more than 2/3 or less than 1/3 of the distal phalanx articular surface or with previous surgical intervention, were subjected to this study. The fracture fragment was fixed with a modified tension band wiring technique using a stainless steel wire and an injection needle. RESULTS: All patients achieved bone union in nine weeks in average. All patients had no pain except one with mild pain. No patient showed a gap or step-off greater than 1 mm. CONCLUSIONS: Our tension band wiring technique can be used regardless of the size of the dorsal fracture fragment or the interval between injury and surgery.
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