{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T07:22:02Z","timestamp":1782285722407,"version":"3.54.5"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated mid-term results of surgical treatment of mallet finger injuries in patients in whom close reduction was not successful.\\r\\nMethods: The study involved 34 patients (26 males, 8 females; mean age 27 years; range 21 to 37 years) with mallet finger deformity due to avulsion fracture of the proximal dorsal lip of the distal phalanx. According to the Doyle classification, all injuries were type IVb. Following unsuccessful attempts of closed reduction, the patients were treated with open reduction and K-wire fixation. Cast immobilization of the distal interphalangeal joint was employed for four weeks and rehabilitation was started after removing the K-wires in the sixth week. Radiographic and clinical assessments were made according to the Doyle and Crawford criteria, respectively, after a mean follow-up period of 18 months (range 11 to 34 months).\\r\\nResults: Radiographic union was achieved in all the patients and an anatomic reduction was obtained in 31 patients (91.2%). According to the Crawford criteria, the results were excellent in 27 patients (79.4%), good in four patients (11.8%), and moderate in three patients (8.8%). Patients with a good result had a mean extension loss of 5\u00b0, and those with a moderate result had a mean flexion loss of 10\u00b0. The remaining patients had full range of motion of the distal interphalangeal joint. None of the patients developed joint subluxation, narrowing of the joint space, or degenerative changes.\\r\\nConclusion: An anatomical reduction is essential in mallet finger deformities. Open reduction and internal K-wire fixation can be preferred due to its low complication rate and ease of application in patients whose mallet deformity cannot be treated by closed reduction.\n\n\u00d6zet\n\nAma\u00e7: \u00c7eki\u00e7 parmak yaralanmas\u0131nda kapal\u0131 red\u00fcksiyonun ba\u015far\u0131l\u0131 olamad\u0131\u011f\u0131 hastalarda uygulanan a\u00e7\u0131k cerrahi tedavinin orta d\u00f6nem sonu\u00e7lar\u0131 irdelendi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya distal falanks\u0131n proksimal dorsal y\u00fcz\u00fcnde kopma k\u0131r\u0131\u011f\u0131na ba\u011fl\u0131 \u00e7eki\u00e7 parmak yaralanmas\u0131 olan 34 hasta (26 erkek, 8 kad\u0131n; ort. ya\u015f 27; da\u011f\u0131l\u0131m 21-37) al\u0131nd\u0131. Doyle s\u0131n\u0131flamas\u0131na g\u00f6re, t\u00fcm hastalarda tip IVb yaralanma vard\u0131. Kapal\u0131 red\u00fcksiyonun ba\u015far\u0131l\u0131 olamamas\u0131 nedeniyle, t\u00fcm olgulara a\u00e7\u0131k red\u00fcksiyon ve K-teli ile tespit uyguland\u0131. D\u00f6rt hafta distal interfalangeal eklem ekstansiyon ateli ile takip edilen olgularda, alt\u0131nc\u0131 haftada tespit materyalleri \u00e7\u0131kar\u0131larak rehabilitasyona ba\u015fland\u0131. Son kontrollerde olgular radyografik olarak Doyle, klinik olarak Crawford \u00f6l\u00e7\u00fctlerine g\u00f6re de\u011ferlendirildi. Ortalama takip s\u00fcresi 18 ay (da\u011f\u0131l\u0131m 11-34 ay) idi.\\r\\nSonu\u00e7lar: Radyografik de\u011ferlendirmede t\u00fcm hastalarda kaynama elde edildi. Otuz bir hastada (%91.2) anatomik red\u00fcksiyon sa\u011fland\u0131. Crawford \u00f6l\u00e7\u00fctlerine g\u00f6re 27 hastada (%79.4) m\u00fckemmel, d\u00f6rt hastada (%11.8) iyi, \u00fc\u00e7 hastada (%8.8) orta sonu\u00e7 elde edildi. \u0130yi sonu\u00e7 al\u0131nan hastalarda ortalama 5\u00b0 ekstansiyon yetersizli\u011fi, orta sonu\u00e7 al\u0131nan hastalarda ise ortalama 10\u00b0 fleksiyon k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 vard\u0131. Di\u011fer hastalarda distal interfalangeal eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 tamd\u0131. Hi\u00e7bir hastada eklemde subluksasyon, eklem aral\u0131\u011f\u0131nda daralma ve dejeneratif de\u011fi\u015fiklik saptanmad\u0131. \\r\\n\u00c7\u0131kar\u0131mlar: \u00c7eki\u00e7 parmak deformitesinde anatomik red\u00fcksiyon \u015fartt\u0131r. Kapal\u0131 red\u00fcksiyonun sa\u011flanamad\u0131\u011f\u0131 olgularda a\u00e7\u0131k red\u00fcksiyon ve K-teli ile internal tespit tekni\u011fi d\u00fc\u015f\u00fck komplikasyon oran\u0131 ve kolay uygulanabilirli\u011fi nedeniyle tercih edilebilecek bir y\u00f6ntemdir.<\/jats:p>","DOI":"10.3944\/aott.2009.395","type":"journal-article","created":{"date-parts":[[2009,11,6]],"date-time":"2009-11-06T07:53:35Z","timestamp":1257494015000},"page":"395-399","source":"Crossref","is-referenced-by-count":10,"title":["Open reduction and Kwire fixation of mallet finger injuries: midterm results"],"prefix":"10.5152","volume":"43","author":[{"given":"Haldun","family":"Orhun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhsin","family":"Dursun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emre","family":"Orhun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volkan","family":"Gurkan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guray","family":"Altun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2305\/2262","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:18Z","timestamp":1763463438000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2305"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2009,1,5]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.395","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}