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A Novel Hook Plate Fixation Technique for the Treatment of Mallet Fractures

Theivendran, Kanthan BSc, MBBS; Mahon, Andrew MSc, FRCSI(Tr and Orth); Rajaratnam, Vaikunthan MBBS(Mal), AM(Mal), MBA(USA), FRCS(Ed), FRCS(Glasg), FICS(USA), Dip Hand Surgery(Eur)

doi: 10.1097/01.sap.0000232858.80450.27
Tips and Techniques
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Bony mallet injuries are generally treated nonoperatively, but when the fragment involves a significant percentage of the articular surface, articular incongruity and instability can occur. A number of techniques have been described for the fixation of such fractures and each has its own problems. Anatomic reduction and secure fixation of small fragments can be challenging. Our objective is to describe a new surgical technique using a 1.3-mm hook plate that provides good reduction and stable fixation of a mallet fracture, with early mobilization of the distal interphalangeal joint.

From the Birmingham Hand Centre, University Hospital Birmingham, Selly Oak Hospital, Birmingham, UK.

Received April 9, 2006, and accepted for publication, after revision, June 6, 2006.

No financial support was received for this article.

Reprints: K. Theivendran, BSc, MBBS, 81 Pennine Way, Ashby-de-la-Zouch, Leicestershire, LE65 1EZ, UK. E-mail: kanthan@hotmail.co.uk.

© 2007 Lippincott Williams & Wilkins, Inc.