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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Conservative management equally effective to new suture anchor technique for acute mallet finger deformity: A prospective randomized clinical trial
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Conservative management equally effective to new suture anchor technique for acute mallet finger deformity: A prospective randomized clinical trial

机译：保守管理对急性槌手指畸形的新缝合锚技术同样有效：一项前瞻性随机临床试验

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Study DesignProspective randomized controlled trial. Purpose of the StudyThis study was designed to compare our new suture anchor technique with conservative management in acute Wehbe-Schneider type I A-B and II A-B mallet fingers. MethodsTwenty nine patients who presented to our clinic between 2013 and 2015 were randomized for surgical or conservative treatment. Wehbe-Schneider subtype C fractures were excluded. Fourteen were treated with surgery, and 15 were treated with conservative treatment. Primary outcomes were visual analog scale score, active distal interphalangeal (DIP) joint flexion, return to work, extension deficit and DIP joint degeneration. Follow-up time was 12 months. ResultsThe mean visual analog scale was 2.0, and return to work was on average in 63.2 days in the surgical group and 1.47 and 53.7 days in the conservative group. Extension deficit was 8.1° in the surgical group and 6.1° in the conservative group. The mean DIP flexion at final follow-up was 54.5° (40-65) in the surgery group and 58.3° (45-70) in the conservative group. DIP joint degeneration was observed with X-rays in 4 patients in surgical group, and none of the patients in the conservative group had DIP degeneration at 1 year after treatment. ConclusionsThe therapeutic effectiveness of suture anchor technique was not statistically different from conservative treatment. Subluxation seen after fixation treatment with suture anchors may be due to inadequate anchor fixation. DIP joint degeneration was seen significantly more in the surgical group. Our study suggests that the new suture anchor technique is not superior to conservative treatment. Level of EvidenceIb.
机译：研究设计推翻随机对照试验。研究该研究的目的是旨在将我们的新缝合锚技术与急性Wehbe-Schneider型I A-B和II A-B槌手指进行了保守管理。介绍2013年至2015年间诊所的患者患者被随机进行外科或保守治疗。韦夫 - 施耐德亚型C骨折被排除在外。 144人被手术治疗，并用保守治疗治疗15个。主要结果是视觉模拟规模评分，有源远端间骨膜（DIP）关节屈曲，恢复工作，延伸缺陷和浸联剥离。随访时间为12个月。结果是视觉模拟规模为2.0，外科小组的63.2天内返回工作平均平均为1.47和53.7天。手术组中的延伸赤字为8.1°，保守群体中的6.1°。在最终随访中的平均浸屈曲是在手术组中为54.5°（40-65），保守群体58.3°（45-70）。在手术组4例患者中观察到浸渍联合退化，并且保守组中没有任何患者在治疗后1年内浸渍变性。结论缝合锚技术的治疗效果与保守治疗没有统计学不同。用缝线锚定固定处理后看到的子柱可能是由于锚定固定不充分。在外科群体中，浸入关节变性显着观察更多。我们的研究表明，新的缝合锚技术不优于保守治疗。课程水平。

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