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| Effect comparison of the Thompson method and wire-pulling out method for reconstruction of the terminal of extensor tendon in the treatment of old mallet finger |
| LIU Bin HU Xue-bin TAO Hong-bo LIU Yan-qin HE Cheng-jie JIN Dong |
| Department of Orthopedics, Wuhan Wudong Hospital |
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Abstract Objective To evaluate the clinical effect of Thompson method and wire-pulling out method for reconstruction of the terminal of extensor tendon in treating old wallet finger.Methods A total of 40 patients with old mallet finger admitted into the Department of Surgery of the Wuhan Wudong Hospital from June 2012 to June 2016 were collected as research objects, and they were divided into two groups according to different treatment methods.Thompson method was used to treat 20 cases of mallet finger (group A), other 20 cases (group B) were treated with wire-pulling out method to reconstruct the terminal of extensor tendon, and the therapeutic effect of the two surgical methods were compared.Results In group A, 16 cases were followed up for 6 months after surgery, according to the TAM functional assessment system, 8 cases were excellent, 6 good, 2 fair, and 0 poor, the excellent and good rate was 87.5%.In group B, 18 cases were followed up for 6 months after surgery, according to the TAM functional assessment system, 4 cases were excellent, 5 good, 4 fair, 5 poor, the excellent and good rate was 50.0%.In group A, 2 patients had foreign body formation under the skin after surgery, and the total incidence of complications was 12.5%.In group B, 4 patients had skin necrosis of incision or finger pulp after surgery, 4 patients had foreign body formation under the skin, and the total incidence of complications was 44.4%.No one had a relapse of mallet finger in group A, and the recurrence rate was 0.0%;4 patients had a relapse of mallet finger in group B, and the recurrence rate was 22.2%.The excellent and good function rate in group A was higher than that in group B, and the total incidence of complications and recurrence of mallet finger were lower than those in group B, the differences were statistically significant (P＜0.05).Conclusion Adopting Thompson method to treat mallet finger has a low recurrence rate and fewer complications, and can correct swan-neck deformity with satisfactory effect.
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