Delta Wiring Technique to Treat Bony Mallet Fracture Technique Description and Case Series


Authors : Mohamed Sakr; Eslam Abourisha

Volume/Issue : Volume 7 - 2022, Issue 9 - September

Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3SnGDzz

DOI : https://doi.org/10.5281/zenodo.7102620

Delta wiring has become a widespread technique for the treatment of bony mallet fracture. This technique enables fragment compression and immediate DIP joint active movement. The Delta wiring has become an alternative for the extension bock technique. We intend to describe the technique and results of Delta wiring for the surgical treatment of bony mallet injury. The aim of this study was to describe the Delta wire and provide a clinical and radio- logical evidence in the treatment of mallet fractures. The hypothesis of this study was that Delta wiring technique would obtain similar clinical and functional results to those of traditional extension block in the surgical treatment of mallet fractures, and that Delta wire could be a safe, viable treatment choice as an alternative to Extension block technique.  Methods: Eighteen patients submitted to Delta wiring for the treatment of mallet fracture were included and assessed in this study, during the period of January 2017 to May 2020 with a complete assessment in minimum follow-up of 6months. The technique was indicated for patients with acute mallet fracture, with intact overlying skin. Patients in pediatric age group, open fracture or ligamentous mallet were excluded.

Keywords : Mallet fracture, Delta wiring , Frame, Extension block.

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