Modified Suzuki frame for the treatment of difficult Rolando fractures

Severely comminuted fractures of the middle phalanx of the digits are known to be demanding cases for hand surgeons. The restoration of the length and axis of the phalanx, such as the anatomic reduction of the articular surface in case of intra-articular association are basic principles that have to be followed. A simple and cheap device consisting of two Kirschner wires and a nylon suture can work as an external fixation system based on the principle of ligamentotaxis. As a result, the anatomic reduction of the fracture with minimal soft tissue damage and simple surgical equipment is feasible.

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“…A soft bandage is placed around the digit. This construct is based on the "Suzuki frame" technique and constitutes a modification of it [11].…”

Section: Discussionmentioning

confidence: 99%

A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report

Galanopoulos

Vynichakis

2019

Cureus

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“…We did find cases of damage to the superficial radial nerve and median nerve by K-wire transection and migration, respectively. 9,10 Given that K-wire fixation of the thumb is a common procedure, we hypothesize that this is an underreported complication.…”

Section: Discussionmentioning

confidence: 99%

Injury to the Distal Motor Branch of the Ulnar Nerve From Thumb K-Wire Fixation

Heyns

Steve

Hurdle

et al. 2018

Plastic Surgery Case Studies

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We present a complication of trapeziectomy with hematoma distraction arthroplasty for thumb carpometacarpal joint arthritis in a 61-year-old female. Shortly after Kirschner (K)-wire removal at 5.5 weeks post-operatively, the patient noted weakness with thumb adduction. Electromyography and nerve conduction studies done at 3, 5, and 14 months post-operatively showed acute axonal ulnar neuropathy affecting the deep, distal motor branch of the left hand with subsequent partial recovery of function. We postulate that insertion of 1 of the 2 K-wires resulted in a third-degree transection injury to the deep motor branch of the ulnar nerve. To our knowledge, this complication has not been previously reported. We believe it is important for surgeons performing this procedure to be aware of this potential complication as it results in a significant functional disability for the patient.

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Treatment of comminuted fractures of the base of the thumb metacarpal using a cemented bone-K-wire frame

Duan

Zhang

et al. 2019

Hand Surgery and Rehabilitation

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Modified Suzuki frame for the treatment of difficult Rolando fractures

Cited by 4 publications

References 16 publications

A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report

A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report

Injury to the Distal Motor Branch of the Ulnar Nerve From Thumb K-Wire Fixation

Treatment of comminuted fractures of the base of the thumb metacarpal using a cemented bone-K-wire frame

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