LIU Guoli, WANG Haonan, TIAN Dehu. Curative effect of conservative versus surgical treatment for tendinous mallet finger deformity and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2022, 26(4): 68-72. DOI: 10.7619/jcmp.20212711
Citation: LIU Guoli, WANG Haonan, TIAN Dehu. Curative effect of conservative versus surgical treatment for tendinous mallet finger deformity and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2022, 26(4): 68-72. DOI: 10.7619/jcmp.20212711

Curative effect of conservative versus surgical treatment for tendinous mallet finger deformity and its influencing factors

More Information
  • Received Date: July 04, 2021
  • Available Online: March 21, 2022
  • Published Date: February 27, 2022
  •   Objective  To compare the clinical effect of conservative treatment and surgical treatment of mallet finger and to analyze the factors affecting the treatment effect.
      Methods  A total of 108 cases with tendinous mallet finger deformity were collected and divided into conservative treatment group(n=54) and surgical treatment group(n=54) according to treatment methods. The conservative treatment group was immobilized with braces for 6 to 8 weeks and instructed for functional exercise, while the surgical treatment group received surgical treatment (longus tendon sheet graft transplantation, extensor tendon insertion reconstruction and direct extensor tendon suture were used respectively according to different injuries), and the patients were protected and fixed with plaster for 6 weeks and underwent functional exercise. The patients of two groups were followed up and compared in terms of wounded finger motion, under-extension angle, pain and complications. The treatment effects of the two groups were evaluated comprehensively by Dargan functional assessment method, and the factors affecting the treatment effect were analyzed by correlation analysis method.
      Results  The follow-up time was 5 to 8 months in the conservative treatment group, and 4 to 8 months in the surgical treatment group, with average of 6.3 months, and 6.8 months, respectively. The excellent and good rate of the conservative treatment group was 81.48%, and 87.04% in the surgical treatment group, but there was no significant difference in the excellent and good rate between the two groups (P>0.05). The time from injury to treatment was correlated with the curative effect in conservative treatment group (P < 0.05), while efficacy had no correlations with age and injuries fingers (P>0.05). There were no significant correlations of the time from injury to treatment, age, injuries fingers with efficacy in the surgical treatment group (P>0.05). The excellent and good rate of direct extensor tendon suture in the surgical treatment group was higher than the other two methods, but the difference was not statistically significant (P>0.05).
      Conclusion  For patients with tendinous mallet finger deformity, brace fixation is the priority for conservative treatment, but surgery is recommended for those with more than 3 weeks of injuries. The failure of conservative treatment does not affect the postoperative outcomes of surgical treatment.
  • [1]
    李友, 巨积辉, 熊胜, 等. 原位伸肌腱止点重建治疗腱性锤状指畸形[J]. 中华手外科杂志, 2018, 34(5): 333-335. doi: 10.3760/cma.j.issn.1005-054X.2018.05.005
    [2]
    张玉军, 巨积辉, 周广良, 等. 三种治疗骨性锤状指手术方式的疗效分析[J]. 中华手外科杂志, 2018, 34(1): 24-26. doi: 10.3760/cma.j.issn.1005-054X.2018.01.010
    [3]
    施劲, 王骏. 锤状指保守治疗效果及影响因素的分析[J]. 中国康复医学杂志, 2017, 32(7): 826-828. doi: 10.3969/j.issn.1001-1242.2017.07.020
    [4]
    张亚楠, 朱磊, 李淑媛, 等. 掌侧支具在急性闭合性锤状指中的应用[J]. 中华手外科杂志, 2012, 28(2): 67-69. doi: 10.3760/cma.j.issn.1005-054X.2012.02.002
    [5]
    潘勇卫, 田光磊, 李淳, 等. 改良支具固定治疗陈旧腱性锤状指[J]. 中华手外科杂志, 2010, 26(6): 328-331.
    [6]
    都巍, 李雄峰, 章伟祥, 等. 不同手术方法治疗DoyleⅠ型锤状指的临床疗效比较研究[J]. 浙江创伤外科, 2019, 24(5): 1018-1019. doi: 10.3969/j.issn.1009-7147.2019.05.074
    [7]
    刘欢, 李崇杰, 梁晓旭, 等. 锤状指手术治疗方法的探讨[J]. 实用手外科杂志, 2018, 32(3): 300-301. doi: 10.3969/j.issn.1671-2722.2018.03.013
    [8]
    李春江. 腱-骨片移植法重建止点治疗腱性锤状指[J]. 中华手外科杂志, 2016, 32(3): 236-238. doi: 10.3760/cma.j.issn.1005-054X.2016.03.033
    [9]
    李海雷, 李大村, 刘井达, 等. 微型骨锚联合腱片移植修复指伸肌腱止点损伤[J]. 中华手外科杂志, 2017, 33(3): 237-238. doi: 10.3760/cma.j.issn.1005-054X.2017.03.034
    [10]
    周晓玲, 李学渊, 胡浩良, 等. 手术治疗与短指支具保守治疗腱性闭合性锤状指疗效比较的回顾性研究[J]. 中华手外科杂志, 2019, 35(5): 337-339. doi: 10.3760/cma.j.issn.1005-054X.2019.05.007
    [11]
    陆涛, 宋知非, 任杰. Ⅰ区伸肌腱断裂锤状指保守疗法疗效不佳的探讨[J]. 中华创伤骨科杂志, 2005, 7(9): 891-892. doi: 10.3760/cma.j.issn.1671-7600.2005.09.028
    [12]
    李程科, 吴祥, 肖军波, 等. 自体指深屈肌腱转位修复Ⅰ区指伸肌腱缺损锤状指[J]. 中华手外科杂志, 2019, 35(5): 340-342. doi: 10.3760/cma.j.issn.1005-054X.2019.05.008
    [13]
    贾杰, 魏智辉, 陈伟, 等. 经骨隧道线扣技术腱骨缝合治疗腱性锤状指[J]. 中华手外科杂志, 2018, 34(5): 336-337. doi: 10.3760/cma.j.issn.1005-054X.2018.05.006
    [14]
    胡燕青, 蒋海, 李棋, 等. 不同肌腱缝合方法的生物力学比较研究[J]. 中国修复重建外科杂志, 2017, 31(10): 1208-1213. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXCW201710010.htm
    [15]
    赵占稳. 陈旧性腱性锤状指的显微外科手术治疗[J]. 中国矫形外科杂志, 2008, 16(24): 1898-1899. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS200824024.htm
  • Related Articles

    [1]LUO Liya, LIU Cuiqing, GENG Lijie, LIU Shanshan, ZHANG Wei, ZHANG Shuai. Effect of different doses of atorvastatin on vascular endothelial function in elderly patients with acute cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2021, 25(16): 103-106, 111. DOI: 10.7619/jcmp.20211235
    [2]ZHOU Yongfeng, DANG Weili. Effect of atorvastatin on vascular function and blood lipid in coronary heart disease patients with percutaneous coronary intervention[J]. Journal of Clinical Medicine in Practice, 2020, 24(14): 100-102. DOI: 10.7619/jcmp.202014027
    [3]WANG Xinjia. Effect of accurate nursing on neurological function and prognosis in patients with acute cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2019, (3): 115-118. DOI: 10.7619/jcmp.201903032
    [5]LIU Rui. Effect of acupoints massage combined with rehabilitation nursing on neurological deficit and daily living ability in stroke patients in recovery[J]. Journal of Clinical Medicine in Practice, 2017, (16): 4-6. DOI: 10.7619/jcmp.201716002
    [7]SONG Yi. Effect of time nursing on neural function and life quality of hospitalized patients with cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2015, (16): 7-9. DOI: 10.7619/jcmp.201516003
    [8]SONG Peixin, LI Lei, TAO Yue, DONG Bisheng, ZHENG Nan. Analysis in correlation between serum hepatitis C virus load and lipid metabolic components in chronic hepatitis C patients[J]. Journal of Clinical Medicine in Practice, 2015, (11): 32-35. DOI: 10.7619/jcmp.201511010
    [9]LAN Xuefen. The effect of nursing intervention on neurological function and life quality in acute cerebral infarction patients[J]. Journal of Clinical Medicine in Practice, 2014, (14): 13-16. DOI: 10.7619/jcmp.201414005
    [10]WANG Yan, CUI Yan. Effect of disease management on neural function and ability of daily living inpatients with ischemic stroke[J]. Journal of Clinical Medicine in Practice, 2012, (12): 33-36. DOI: 10.3969/j.issn.1672-2353.2012.12.013

Catalog

    Article views (351) PDF downloads (21) Cited by()

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return