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Hand Surg Rehabil. 2016 Oct;35(5):335-340. doi: 10.1016/j.hansur.2016.07.006. Epub 2016 Sep 15.

Modified Suzuki frame for the treatment of difficult Rolando fractures.

Author information

1
Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland. Electronic address: t_giesen@hotmail.com.
2
Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.

Abstract

Fifteen consecutive patients with severely comminuted Rolando fractures were treated by closed reduction and fixation with a modified Suzuki frame without rubber bands, followed by immediate mobilization. All the fractures healed within 5 weeks. At 3 months, no rotational deformity was observed. The Kapandji score was equal that of the contralateral thumb in eight cases. No residual pain was recorded. Grip strength was 78% and pinch strength was 78% of the contralateral hand. One patient needed the frame tension modified. One patient developed a sensory deficit in the area of the superficial branch of the radial nerve that resolved spontaneously in 3 months. One patient healed with a 2-mm articular step-off, but the clinical outcome was good. Our retrospective study suggests that the small modification we made to the Suzuki frame provides a relatively simple and minimally invasive technique for the treatment of comminuted Rolando fractures.

KEYWORDS:

Cadre de Suzuki; Dynamic fixation; Early mobilization; Fixation dynamique; Fracture de Rolando; Fracture intra-articulaire de la main; Intra-articular fracture of the hand; Mobilisation précoce; Rolando fracture; Suzuki frame

PMID:
27781978
DOI:
10.1016/j.hansur.2016.07.006
[Indexed for MEDLINE]

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