Rolando Fracture Fixation | digitalcodeshome.online

Rolando fracture. Rolando fracture is a three-part or comminuted intra-articular fracture-dislocation of the base of the thumb proximal first metacarpal 1. Rolando fracture can be thought of as a comminuted Bennett fracture. The mechanism is usually an axial blow to a partially flexed metacarpal, such as a fistfight. Rolando fracture: Comminuted T- or Y-shaped intra-articular three-part fracture through the base of the first metacarpal thumb first described by Silvio Rolando 1873-1949 in 1910. Commonly referred to as an ‘intra-articular thumb metacarpal base fracture with three or more segments’ or a comminuted Bennett fracture.

Multiple fracture patterns of the thumb base have been described, including juxta-articular metaphyseal fracture, Bennett fracture, and Rolando fracture. Interest in fixation of these fractures has been stimulated by the marked decrease in hand function that can develop if disabling arthritis occurs in the thumb carpometacarpal articulation as. Abstract Rolando fractures are associated with poor prognosis and when they occur on the dominant hand potential for disability is even greater. Timely imaging, placement into a thumb spica splint. ROLANDO'S FRACTURE O. LANGHOFF, K. ANDERSEN and K. KJfER-PETERSEN From the University Department of Orthopaedic Surgery, Aarhus County Hospital, Denmark The relationship between methods of treatment, quality of reduction and the occurrence of late disability and osteo-arthritic changes was studied in 17 Rolando's fractures.

Rolando fractures are often difficult to manage because of their inherent instability. We describe a simple technique for the treatment of this fracture using the principle of ligamentotaxis, with a static, two-pin external fixator spanning the trapeziometacarpal joint, and present the results of. Comminuted intra-articular fracture-dislocation of the base of the thumb proximal first metacarpal. Case Discussion Features are consistent with Rolando fracture which is an unstable injury and requires surgical reduction and fixation. Rolando fractures can be treated with either open reduction and internal fixation or external fixation, depending on the size of the fracture fragments. In the case of severely comminuted intra-articular fractures, articular impaction has been implicated as one of the causes of posttraumatic arthritis.

The Rolando fracture is a comminuted intra-articular fracture through the base of the first metacarpal bone the first bone forming the thumb. It was first described in 1910 by Silvio Rolando. This is a fracture consisting of 3 distinct fragments; it is typically T- or Y-shaped. A The term Rolando fracture is classically used to describe a 3-part intra-articular fracture of the thumb metacarpal base with a Y- or T-fracture pattern, as seen in this radiograph. B A radiograph of the same fracture after transosseous K-wire fixation.

54 Complex Fractures at the Base of the Thumb: Rolando Patterns John A. Girotto, Shrika Sharma, and Thomas J. Graham History and Clinical Presentation The patient presents following an automobile accident with front end impact. At the time of the accident, the airbag deployed. Although the patient does not remember all the details, she thinks.

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