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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
RENDON-MEDINA, Marco A. et al. Comparison of wire versus Nylon in Bonny-Mallet Finger treated with pull-out surgery. Cir. cir. [online]. 2022, vol.90, suppl.2, pp.23-28. Epub Dec 20, 2023. ISSN 2444-054X. https://doi.org/10.24875/ciru.21000777.
Introduction:
Zone I extensor tendon lesion accompanies an avulsion fracture of the bone insertion. A common complication of traditional pull-out is the necrosis of the site of the button in the finger pad. Zhang described an alternative way of anchoring the cerclage to the Kirschner Wire (K-wire) to relieve the pressure in the finger pad. He describes the use of wire cerclage, for fracture reduction. The objective of this paper is to perform a comparison between wire and nylon using Zhang pull-out technique.
Material and methods:
We performed a cohort study comparing Nylon versus Wire in Zhang technique. Comparing cosmetic satisfaction, stiffness, residual pain, and Crawford scale.
Results:
When comparing the outcomes between both groups, we found no statistical difference in cosmetic satisfaction (p = 0.285), stiffness (p = 0.460), and residual pain (p =1.000), overall complications (p = 1.000), or Crawford scale (p = 1.000). We only found a significant statistical difference in pain when removing the cerclage, being greater in Group B (p = 0.008).
Conclusions:
We found no significant outcome difference between nylon and wire cerclage. However, at the time of removing it, patients experience less pain.
Keywords : Mallet-finger; Pull-out; Hand surgery; Tendon surgery.