title: Modified Suzuki frame for the treatment of difficult Rolando fractures.
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.
authors: Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland. Electronic address: t_giesen@hotmail.com.
authors: T
authors: T
authors: Giesen
authors: Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.
authors: L
authors: L
authors: Neukom
authors: Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.
authors: R
authors: R
authors: Fakin
authors: Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.
authors: V
authors: V
authors: Beckmann-Fries
authors: Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.
authors: M
authors: M
authors: Calcagni
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004867:Equipment Design; D005260:Female; D005592:Fracture Fixation / Q000295:instrumentation* / Q000379:methods; D018460:Fractures, Comminuted / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D057072:Intra-Articular Fractures / Q000601:surgery*; D008297:Male; D050279:Metacarpal Bones / Q000293:injuries*; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013933:Thumb / Q000293:injuries*; D055815:Young Adult
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