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BACKGROUND: Mallet fracture with distal interphalangeal joint (DIPJ) subluxation remains a challenging problem, with numerous techniques proposed for repair of this fracture.  METHODS: The authors present a modified approach to mallet fractures with volar subluxed DIPJ by K-wire fixation and intraosseus suture of the avulsed extensor tendon.  RESULTS: The described technique resulted in successful clinical management of 12 patients with isolated mallet fractures with volar subluxation with 1/12 patients having a complication of stable non-union  CONCLUSIONS: The intraosseous suture technique with K-wire stabilisation offers a simple and reproducible technique of fracture reduction and stabilisation of volar subluxed DIPJ mallet fractures.

Intraosseous suture technique with K-wire stabilisation for fixation of mallet fracture with DIPJ volar subluxation