This document describes a new surgical technique for treating mallet fractures using a modified 1.3mm hook plate. Key points:
- The technique involves using a hook plate modified with two hooks that are passed through small incisions in the tendon and grab the dorsal fracture fragment.
- A screw is used to reduce the fragment and provide compression at the fracture site, employing the tension band principle.
- The plate provides anatomic reduction and stable fixation, allowing early mobilization of the DIP joint.
- The technique is described as providing good clinical and radiographic outcomes for mallet fractures involving over 30% of the articular surface.