Comparison of New Suture Anchor Technique for Bony Mallet Injury Versus Conservative Treatment

Conservative Management Equally Effective to New Suture Anchor Technique for Acute Mallet Finger Deformity: A Prospective Randomized Clinical Trial

This study aims to compare conservative treatment versus a new suture anchor technique for bony mallet finger in 29 patients.

This study aims to compare conservative treatment versus a new suture anchor technique for bony mallet finger in 29 patients who presented to investigators' clinic between 2013 and 2015. Patients were randomly assigned to conservative or surgical treatment groups. Patients in the conservative group were followed with immobilization with aluminum splint and physical therapy. Patients in the surgical group were treated with investigators' new surgical suture anchor technique and then received physical therapy. The patients were followed for 12 months. Primary study outcomes were extension deficit, days to return to work and DIP flexion.

Patients were randomly assigned to surgical or conservative groups. After 6 weeks patients in both groups were started on the same rehabilitation protocol.

Patients were treated with 6 weeks with splinting and were then started on physical therapy for 2 weeks.

Patients were treated with the new suture anchor technique and after 6 weeks were started on physical therapy for 2 weeks.

Suture anchors were used to attach bony fragment. On week 6, patients were then started on physical therapy for 2 weeks.

The injured finger was immobilized in an aluminium splint for 6 weeks. Patients were then started on physical therapy for 2 weeks.

Starting from the date of the start of treatment until patients returns to work, assessed up to 12 months

Inclusion Criteria: Wehbe Schneider type 1 - 2 and type A - B fractures ability to provide closed reduction patients' voluntariness Exclusion Criteria: Wehbe Schneider type C and type 3 fractures

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