• Fixation of the distal interphalangeal joint in extension is necessary in the treatment of mallet finger. The technique here described avoids the use of splints or casts. It depends on the placement of sutures that pass, on the dorsal side, through the finger nail and, on the palmar side, through vinyl tubing used to protect the soft finger pad from the pull of the sutures. These go not only through the skin but also through the deeper soft tissues, and they immobilize the distal interphalangeal joint in hyperextension without interfering with the free use of the injured finger. In the nine cases described, disability was limited to one or two working days, sutures were removed in four to six weeks, and the fracture was completely healed.
Hillman FE. NEW TECHNIQUE FOR TREATMENT OF MALLET FINGERS AND FRACTURES OF DISTAL PHALANX. JAMA. 1956;161(12):1135–1138. doi:10.1001/jama.1956.02970120017005
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