Giesen T, Neukom L, Fakin R, Beckmann-Fries V, Calcagni M
Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.
Department of plastic surgery and hand surgery, university hospital Zurich, 100, Rämistrasse, 8006 Zurich, Switzerland.
Hand Surg Rehabil. 2016 Oct;35(5):335-340. doi: 10.1016/j.hansur.2016.07.006. Epub 2016 Sep 15.
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.
15例连续的严重粉碎性罗兰多骨折患者接受了改良的不带橡皮筋的铃木架闭合复位固定治疗，随后立即进行活动。所有骨折均在5周内愈合。3个月时，未观察到旋转畸形。8例患者的卡潘迪评分与对侧拇指相同。无残留疼痛记录。握力和捏力分别为对侧手的78%。1例患者需要调整框架张力。1例患者在桡神经浅支区域出现感觉障碍，3个月后自行缓解。1例患者愈合时有2mm的关节台阶，但临床结果良好。我们的回顾性研究表明，我们对铃木架所做的小改进为治疗粉碎性罗兰多骨折提供了一种相对简单且微创的技术。
