Author(s): Stern PJ, Kastrup JJ
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Abstract This study reviews complications of treatment in 123 mallet fingers treated operatively and nonoperatively. In the 84 digits splinted there was a 45\% rate of complications, mostly skin related; however, these complications were almost always transient. For the 45 surgically treated digits the complication rate was 53\%, with 76\% of these complications still present at a mean follow-up of 38 months. Six digits treated initially with splinting (minimum of 6 weeks) and later with surgery were included in both groups. Major complications in the patients undergoing surgery included deep infection (4\%), joint incongruity (18\%), and nail deformity (18\%). In addition, seven patients (16\%) required reoperation, and all of these had an unsatisfactory result except that in one finger the outcome was unknown.
This article was published in J Hand Surg Am
and referenced in Journal of Sports Medicine & Doping Studies