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Modified Suzuki frame for the treatment of difficult Rolando fractures.
Journal article

Modified Suzuki frame for the treatment of difficult Rolando fractures.

  • Giesen T Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland. Electronic address: t_giesen@hotmail.com.
  • Neukom L Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.
  • Fakin R Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.
  • Beckmann-Fries V Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.
  • Calcagni M Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.
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  • 2016-10-27
Published in:
  • Hand surgery & rehabilitation. - 2016
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
Adolescent
Adult
Aged
Aged, 80 and over
Equipment Design
Female
Fracture Fixation
Fractures, Comminuted
Hand Strength
Humans
Intra-Articular Fractures
Male
Metacarpal Bones
Middle Aged
Radiography
Range of Motion, Articular
Retrospective Studies
Thumb
Young Adult
English 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.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/94246
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