title: Management of Rolando fracture by modified dynamic external fixation: a new technique.
abstract: Rolando fracture is one of the most difficult fractures facing hand surgeons. It can be described as a Y- or T-shaped fracture line that runs longitudinally through the metaphyseal area, with an intra-articular fracture splitting the metacarpal base fragment into a volar and a dorsal fragment. In this study, we introduce our technique used in the management of 7 cases, which were treated by our dynamic external fixation. The results were found to be promising, with an excellent range of motion and power grip postoperative. The joints spaces were restored. No patients in our series developed arthritic changes. All patients are pain free in 3 months.
authors.affiliation: Cairo University, Cairo, Egypt.
authors.forename: Ahmed A
authors.initials: AA
authors.lastname: El-Sharkawy
authors.forename: Aly O
authors.initials: AO
authors.lastname: El-Mofty
authors.forename: Ashraf N
authors.initials: AN
authors.lastname: Moharram
authors.forename: Mohamed M
authors.initials: MM
authors.lastname: Abou Elatta
authors.forename: Fouad
authors.initials: F
authors.lastname: Asal
mesh_terms: D000328:Adult; D016267:External Fixators; D005592:Fracture Fixation / Q000295:instrumentation*; D050723:Fractures, Bone / Q000534:rehabilitation / Q000601:surgery*; D018460:Fractures, Comminuted / Q000534:rehabilitation / Q000601:surgery; D018737:Hand Strength; D006801:Humans; D008297:Male; D050279:Metacarpal Bones / Q000293:injuries*; D016059:Range of Motion, Articular; D013933:Thumb / Q000293:injuries*; D055815:Young Adult