An otherwise healthy 28-year-old manual worker sustained a Rolando's fracture to the right thumb with two small intra-articular fragments (Figure Ha)). Under regional anaesthesia, closed reduction was carried out and fixation maintained with a modified Suzuki frame with no rubber bands, constructed from one 1.6 mm and one 1.5 mm K-wire (Badia et al, 2005). The 1.6 mm K-wire was passed from palmar-radial to dorsal-ulnar through the trapezium at 90deg to the axis of the metacarpal, with the wrist in 0deg of extension. The 1.5 mm K-wire was passed through the head of the thumb metacarpal, parallel to the previous wire (Figure Kb) and (c)). To hook the distal K-wire onto the proximal one, the frame was constructed with a dorsal to palmar S-shape, to avoid contact between the frame and the skin when the thumb was flexed (Figure 2(a) and (b)). The operative time was 34 min.
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