Miniplate and K-Wire Fixation for Type Vb Jersey Finger: A Case Series of Nine Patients.

PURPOSE: The aim of this study was to present the results of plate and K-wire fixation for type Vb jersey finger.

METHODS

We used a miniplate system combined with a K-wire to treat nine cases of acute type Vb jersey finger injury. The fracture healing time, functional outcomes, and complications were assessed.

RESULTS

The follow-up time ranged from 13 to 44 months. All fractures healed within 7 weeks. The mean active range of motion was 70.6° (60° to 80°) for the distal interphalangeal joint and 105° (100° to 110°) for the proximal interphalangeal joint. All affected fingers were able to move actively with no pain, and there was no nail deformity. Two patients with the longest radiographic follow-up showed a congruent joint surface with no degenerative change at 44 months.

CONCLUSIONS

Miniplate and K-wire fixation offers adequate fixation strength for the early initiation of active exercises so that a good functional result can be achieved.

TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic V.