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Cirugía y cirujanos

versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411

Resumen

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 20-Dic-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.

Palabras llave : Mallet-finger; Pull-out; Hand surgery; Tendon surgery.

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