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Long-term results of splintage for mallet finger.

Splinting of acute mallet finger injury is widely practiced. Few long term studies of the results have been published. We reviewed 156 mallet finger injuries after such treatment at 6 months and 61 months after injury. At six months the mean extension lag was 7 degrees and the mean range of active flexion was 61 degrees. After 61 months the extension lag was 5 degrees and active flexion was unchanged. In light of the above we do not consider routine long term follow of mallet finger injury to be necessary after treatment with splintage.

Adult↗

Unusual finger tip injury in children.

We report two children with finger tip ischaemia resulting from woollen mittens. Ischaemia has progressed to gangrene and required amputation of the affected finger.

Amputation, Surgical↗

Secondary procedures following digital replantation and revascularisation.

In this retrospective study, 79 digits of 55 patients received 102 secondary procedures following replantation. We divided the procedures into two groups, occurring before or after 2 months following replantation. The procedures in the early group were mainly for soft tissue coverage (92%), and those in that late group were mainly for tendon (67%) to improve function. Factors associated with higher incidence of early secondary procedures included multiple-finger injury, avulsion or degloving injury and level of injury proximal to zone III in finger replantation (p<0.05). However, younger patients and those with proximal level replantation in fingers had more late secondary procedures (p<0.05). Flexor tenolysis procedure significantly improved the digital function after replantation (p<0.05).

Adult↗