Tynor Mallet Finger Splint for Close Fitting and Excellent Grip

Our Price : Rs 61

Mallet finger Specially design to correct the Tynor Mallet Finger Splint deformity. Designed to support the dip joint in hyper- extension, while permitting unrestricted movement of the PIP joint.

• Sleek and convenient.
• Customizable dorsiflexion.
• Comfortable cushioning.
• One universal size.

Tynor Mallet Finger Splint Features :

• Coated aluminum body
• Malleable can be bent and customized
• Strong, provides rigid immobilization
• Light weight
• Ergonomic design
• Highly practical design to maintain the requisite hyper extension of DIP joint
• Well ventilated and comfortable
• Sleek and simple –Better compliance
• Easy application and removal.
• Ethafoam lining
• High cushioning
• Enhanced comfort
• Easy to clean and maintain.
• Inbuilt Hook loop fasteners
• Close fitting and excellent grip
• Easy application and removal.

Wrist Wrap (Neoprene) is designed to Wrist Support, protect and partially immobilize the wrist. It compresses the area and retains the body heat to allay local pain and inflammation.

Extra grip.

Our Price : Rs 133

• Versatile closing system.
• Optimal therapeutic warmth.
• Easy application.
• Four way compression.

Tynor Wrist Wrap (Neoprene) Features :

• Neoprene layer bonded with nylon fabric on both sides
• Four way strechability and compression.
• Ensures longer life.
• Appealing aesthetics with color fastness.
• Wrap around design and UBL closing system
• Ensure easy application and removal
• Customized compression and fitting
• Better fitting
• Better support and wrist stabilization
• Thicker neoprene
• Better body heat retention.
• Increase blood circulation.
• Faster healing.

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Splinting Best Treatment for Mallet Finger

There are several treatment options for mallet finger.Splinting is the most common initial treatment method for soft tissue or bony mallet finger. Regardless of the treatment option, common sequelae include a slight extensor lag and a prominent bump on the dorsum of the finger.Many splint configurations and surgical techniques have been described over the past several decades. However, the optimal treatment of each type of mallet finger injury remains controversial. 

Our Price : Rs 61

An excellent outcome is no pain with full range of motion at the DIP joint, less than 10-degree extension deficit is a good outcome, 10–25 degrees of extension deficit with no pain is a fair outcome, and more than 25 degrees of extension deficit or persistent pain is considered a poor outcome. A Mallet Finger treatment outcome assessment classification was proposed by Crawford. It is the most commonly used classification for outcome assessment after mallet finger.

Makhlouf and Deek have considered surgery when splinting cannot correct acute deformities; however, we will review the present literature for acute open and chronic deformities. Most surgeons believe closed/non-operative treatment using splints produces satisfactory results for tendon avulsions without fracture and minimally displaced or small fractures.

Mallet Finger

The authors feel non-operative management of mallet finger is indicated in cases of all soft tissue mallets and bony mallets which are well reduced in a splint without DIP joint subluxation. Immobilization of both the PIP and DIP joints was previously thought to be necessary to relax the extensor hood and intrinsic musculature during terminal extensor tendon healing. 

Whether PIP joint motion would cause a tendon gap at the immobilized DIP joint. They demonstrated that gapping of a disrupted terminal extensor tendon occurred as a result of excursion of the distal tendon stump during DIP joint flexion, not because of retraction of the proximal portion of the tendon with simulated PIP joint extension. They concluded that only the DIP joint need be immobilized in extension to allow healing of the mallet injury. Most authors currently advocate immobilization of the DIP joint alone 

Splinting

There are many variations in the design of splints, but the principle is the same. All Frog Splint Mallet Finger are designed to maintain full extension or slight hyper extension at the DIP joint. Commonly used splints are plastic stack splints, thermoplastic, and aluminum form splints. The authors recommend full time splinting for 6 weeks, followed by 2–6 weeks of splinting at night. The splint should be used continuously and the DIP joint should be maintained in full extension even during skin hygiene care.

Our Price : Rs 79

Patients should be instructed on how to change the splint for periodic cleaning and examination of the skin without allowing the DIP joint to flex. Neglecting a mallet injury or incorrect treatment can lead to DIP joint dysfunction. 1 mm lengthening of the terminal extensor tendon results in 25 degrees of extension lag, and a shortening of 1 mm will seriously restrict DIP joint flexion.

There are several studies comparing mallet finger splints. Perforated splints are better tolerated than solid stack splints. Aluminum-alloy malleable splints are associated with more skin complications as compared with the stack splint, but final outcomes are similar. Warren compared the use of the Abouna splint (rubber coated wire splint) versus the stack splint in a randomized study involving 116 patients.

The Abouna splint had skin complications and poorer patient satisfaction but similar final outcomes as compared with the stack splint. Pike et al. compared the clinical and radiographic extensor lag measurements for mallet fingers treated with volar, dorsal, and custom thermoplastic splinting. There was no extensor lag difference between splints at 12-week follow-up and increased extensor lag was noted with all three splints after discontinuation at 6 weeks of time.

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New Best Finger Splint for Mallet Finger

Patients may not present to the orthopedist with mallet finger for weeks or even months, perhaps having received no treatment or ineffective treatment. Bony injuries heal within weeks; thus, an old bony injury without functional deficit is best left untreated.

Our Price : Rs 61

A tendinous injury generally can be improved by extension splinting up to 6 months from the time of injury. The period of Finger Mallet Splint for such an old injury is extended because the area becomes less inflamed as time passes. Therefore, fibroplasia and wound contraction occur more slowly and less completely.

Mallet finger Specially design to correct the mallet finger deformity. Designed to support the dip joint in hyper- extension, while permitting unrestricted movement of the PIP joint.

• Sleek and convenient.
• Customizable dorsiflexion.
• Comfortable cushioning.
• One universal size.

Attempted open reduction and internal fixation (ORIF) of a mallet injury, either tendinous or bony, often results in a stiff, infected, or painful finger. In most instances, therefore, the surgeon should resist the urge to treat mallet finger surgically.[6] However, some indications for surgical reduction, such as volar subluxation of the distal phalanx, do exist.

Mallet injuries, whether bony or tendinous, should be addressed with closed treatment. This injured area is constrained tightly by adjacent unpadded skin dorsally, a tightly constrained hinge joint volarly, and the germinal matrix of the nail distally. Splinting of the distal interphalangeal (DIP) joint in full extension allows healing of the injured structure and restoration of excellent function and appearance.

A skin-tight plaster cast can effectively hold the distal interphalangeal joint extended and the proximal interphalangeal joint (PIP) flexed when a mallet deformity is accompanied by a hyperextensible PIP. Not immobilizing the PIP in partial flexion risks the development of a swan-neck deformity.

Our Price : Rs 79

Patient education and compliance are keys to good results. Once extension Frog Splints has been initiated, it should be maintained without even a momentary lapse for the prescribed treatment period. Tendinous injuries require 6-8 weeks of splinting, and bony injuries require 4-5 weeks.

Frog-Splint Provides perfect alignment of the inter-phalangeal joints by maintaining them in optimal functional position. Malleable arms fold to hold the finger in the finger in the desired position. No tapes required.

• Light weight
• Softened arms for good grip
• Comfortable cushioning
• Hypo allergenic

The time that is spent educating the patient regarding the necessity for nonstop protection in extension, as well as in techniques for maintaining joint extension (even when cleaning the finger and changing the splint), will be rewarded with favorable results.

The DIP joint should be immobilized in full extension so that the finger is straight. Sustained hyperextension of the joint, however, may cause ischemia in the skin over the dorsum of the joint and contribute to the development of pressure sores, which are occasionally observed as a result of tight splinting.

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