Araştırma Makalesi
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Kronik Çekiç Parmak Cerrahisinde Tenodermodez Yönteminin Etkinliği

Yıl 2023, , 96 - 100, 16.04.2023
https://doi.org/10.46332/aemj.1058957

Öz

Amaç: Mallet finger, distal interfalangeal (DIP) eklemin distalindeki ekstansör tendonun terminal insersiyonunun kısmen veya tamamen yırtılması nedeniyle yaygın olarak ortaya çıkan bir yaralanmadır. Genellikle DIP ekleminin zorlanmış fleksiyonundan kaynaklanır. Bu çalışmanın amacı Tenodermodez cerrahisinin kronik çekiç parmak yaralanmasındaki etkinliğini belirlemektir.

Araçlar ve Yöntem: Toplam 15 hastanın verileri geriye dönük olarak incelendi. Konservatif tedavisi başarısız olan ve tenodermodez yöntemi ile çekiç parmak cerrahisi uygulanan tüm hastalar dahil edildi. Biz yöntemi modifiye ederek tendon ve kapsül sütürasyonu yapıldıktan sonra ayrıca cilt ve tendonu beraber kateden sütürasyon şeklinde uyguladık.

Bulgular: Hastalar 24 aya kadar takip edildi. Tüm hastalarda DIP eklem hareketinde iyileşme vardı. Dokuz hasta DIP ekleminin tam ekstansiyonuna ulaştı. Crawford'un kriterlerine göre tüm hastalarda ‘ağrı yok’ ve işlem sonrası ‘mükemmel’ veya ‘iyi’ skoru elde edildi. Postop komplikasyon bildirilmedi.

Sonuç: Tenodermodez yöntemi, kronik tendinöz çekiç parmak deformitesi için yüksek başarı sonuç oranına sahip küratif bir cerrahi tekniktir.

Kaynakça

  • 1. Bendre AA, Hartigan BJ, Kalainov DM. Mallet finger. JAAOS-J Am Acad Orthop Surg. 2005;13(5):336-344.
  • 2. Zhang L, Zuo Y-M, Huo Y-X, Wang G-Q, Zhang L. Scar overlapping suture for treating chronic tendinous mallet finger in children. J. Orthop. Surg. Res. 2019;14(1):1-5.
  • 3. Lin JS, Samora JB. Surgical and nonsurgical management of mallet finger: a systematic review. J Hand Surg Am. 2018;43(2):146-163.
  • 4. Smit JM, Beets MR, Zeebregts CJ, Rood A, Welters CF. Treatment options for mallet finger: a review. Plast. Reconstr. Surg. 2010;126(5):1624-1629.
  • 5. Gurnani N, Hoogendoorn J, Rhemrev S. Mallet finger: surgery versus splinting. Ned. Tijdschr. Geneeskd. 2014;158:A6941-A6941.
  • 6. Shin EK, Bae DS. Tenodermodesis for chronic mallet finger deformities in children. Tech Hand Up Extrem Surg. 2007;11(4):262-265.
  • 7. Kardestuncer T, Bae DS, Waters PM. The results of tenodermodesis for severe chronic mallet finger deformity in children. J. Pediatr. Orthop. 2008;28(1):81-85.
  • 8. Sorene E, Goodwin D. Tenodermodesis for established mallet finger deformity. Scand J Plast Reconstr Surg Hand Surg. 2004;38(1):43-45.
  • 9. Makhlouf VM, Al Deek N. Surgical treatment of chronic mallet finger. Ann. Plast. Surg. 2011;66(6): 670-672.
  • 10. Alla SR, Deal ND, Dempsey IJ. Current concepts: mallet finger. Hand. 2014;9(2):138-144.

Efficacy of Tenodermodesis Method in Chronic Mallet Finger Surgery

Yıl 2023, , 96 - 100, 16.04.2023
https://doi.org/10.46332/aemj.1058957

Öz

Purpose: Hammertoe is an injury that usually results from partial or complete rupture of the terminal insertion of the extensor tendon distal to the distal interphalangeal (DIP) joint. It is usually caused by forced bending of the DIP joint. The aim of this study is to determine the effectiveness of tenodermodesis surgery in chronic mallet finger injury.

Materials and Methods: A total of 15 patients’ data was investigated retrospectively. All the patients whose conservative treatment failed and underwent a mallet finger surgery with the tenodermodesis method were included. The technic was slightly modified: Sutures were applied, so they traverse the skin and tendon together after suturing the tendon and capsule.

Results: The patients were followed up for up to 24 months. All patients had improvements in DIP joint motion. Nine patients reached a full extension of the DIP joint. According to Crawford's criteria, all the patients had no pain and had excellent and good scores after the procedure. No postop complication was reported.

Conclusion: Tenodermodesis method is a curative surgery technic with a high success outcome rate for chronic tendinous mallet finger deformity.

Kaynakça

  • 1. Bendre AA, Hartigan BJ, Kalainov DM. Mallet finger. JAAOS-J Am Acad Orthop Surg. 2005;13(5):336-344.
  • 2. Zhang L, Zuo Y-M, Huo Y-X, Wang G-Q, Zhang L. Scar overlapping suture for treating chronic tendinous mallet finger in children. J. Orthop. Surg. Res. 2019;14(1):1-5.
  • 3. Lin JS, Samora JB. Surgical and nonsurgical management of mallet finger: a systematic review. J Hand Surg Am. 2018;43(2):146-163.
  • 4. Smit JM, Beets MR, Zeebregts CJ, Rood A, Welters CF. Treatment options for mallet finger: a review. Plast. Reconstr. Surg. 2010;126(5):1624-1629.
  • 5. Gurnani N, Hoogendoorn J, Rhemrev S. Mallet finger: surgery versus splinting. Ned. Tijdschr. Geneeskd. 2014;158:A6941-A6941.
  • 6. Shin EK, Bae DS. Tenodermodesis for chronic mallet finger deformities in children. Tech Hand Up Extrem Surg. 2007;11(4):262-265.
  • 7. Kardestuncer T, Bae DS, Waters PM. The results of tenodermodesis for severe chronic mallet finger deformity in children. J. Pediatr. Orthop. 2008;28(1):81-85.
  • 8. Sorene E, Goodwin D. Tenodermodesis for established mallet finger deformity. Scand J Plast Reconstr Surg Hand Surg. 2004;38(1):43-45.
  • 9. Makhlouf VM, Al Deek N. Surgical treatment of chronic mallet finger. Ann. Plast. Surg. 2011;66(6): 670-672.
  • 10. Alla SR, Deal ND, Dempsey IJ. Current concepts: mallet finger. Hand. 2014;9(2):138-144.
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Bilimsel Araştırma Makaleleri
Yazarlar

Emre Yurdakul 0000-0002-9018-889X

Mehmet Yetiş 0000-0002-8193-4344

Yayımlanma Tarihi 16 Nisan 2023
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

APA Yurdakul, E., & Yetiş, M. (2023). Efficacy of Tenodermodesis Method in Chronic Mallet Finger Surgery. Ahi Evran Medical Journal, 7(1), 96-100. https://doi.org/10.46332/aemj.1058957
AMA Yurdakul E, Yetiş M. Efficacy of Tenodermodesis Method in Chronic Mallet Finger Surgery. Ahi Evran Med J. Nisan 2023;7(1):96-100. doi:10.46332/aemj.1058957
Chicago Yurdakul, Emre, ve Mehmet Yetiş. “Efficacy of Tenodermodesis Method in Chronic Mallet Finger Surgery”. Ahi Evran Medical Journal 7, sy. 1 (Nisan 2023): 96-100. https://doi.org/10.46332/aemj.1058957.
EndNote Yurdakul E, Yetiş M (01 Nisan 2023) Efficacy of Tenodermodesis Method in Chronic Mallet Finger Surgery. Ahi Evran Medical Journal 7 1 96–100.
IEEE E. Yurdakul ve M. Yetiş, “Efficacy of Tenodermodesis Method in Chronic Mallet Finger Surgery”, Ahi Evran Med J, c. 7, sy. 1, ss. 96–100, 2023, doi: 10.46332/aemj.1058957.
ISNAD Yurdakul, Emre - Yetiş, Mehmet. “Efficacy of Tenodermodesis Method in Chronic Mallet Finger Surgery”. Ahi Evran Medical Journal 7/1 (Nisan 2023), 96-100. https://doi.org/10.46332/aemj.1058957.
JAMA Yurdakul E, Yetiş M. Efficacy of Tenodermodesis Method in Chronic Mallet Finger Surgery. Ahi Evran Med J. 2023;7:96–100.
MLA Yurdakul, Emre ve Mehmet Yetiş. “Efficacy of Tenodermodesis Method in Chronic Mallet Finger Surgery”. Ahi Evran Medical Journal, c. 7, sy. 1, 2023, ss. 96-100, doi:10.46332/aemj.1058957.
Vancouver Yurdakul E, Yetiş M. Efficacy of Tenodermodesis Method in Chronic Mallet Finger Surgery. Ahi Evran Med J. 2023;7(1):96-100.

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