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Table 6 Potential problem after hook plate fixation

From: Functional outcomes and complications of hook plate for bony mallet finger: a retrospective case series study

Potential problem. Solutions
Operative wound skin necrosis Incision-Lazy Y skin incision was made to gather more blood supply to skin flap.
Nail deformity Germinal matrix protection-Subperiosteal elevation of germinal matrix about 3-4 mm and put the plate under it.
Terminal tendon laxity with extension lag of DIP joint Respect the soft tissue- Meticulously dissection without injury of the integrity of termial tendon-to-bone structure.
Implant loss reduction
(screw loosening)
Adequate screw purchase-Oblique trajectory of screw placement with bicortical screw purchase
  Wide awake test-Intraoperative wide awake test to ensure adequate strength of fixation. Add Kirschner wire fixation, if wide awake test fail