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Rolando's fracture.

O Langhoff1, K Andersen, K Kjaer-Petersen

  • 1University Department of Orthopaedic Surgery, Aarhus County Hospital, Denmark.

Journal of Hand Surgery (Edinburgh, Scotland)
|November 1, 1991
PubMed
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This study examined Rolando

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • Rolando's fractures are complex fractures of the first metacarpal base.
  • Treatment aims to restore function and prevent long-term complications.

Purpose of the Study:

  • To investigate the relationship between treatment methods, reduction quality, and late outcomes in Rolando's fractures.
  • To assess the occurrence of late disability and osteoarthritic changes.

Main Methods:

  • Retrospective study of 17 patients with Rolando's fractures.
  • Analysis of treatment methods (open reduction vs. percutaneous K-wire fixation).
  • Evaluation of reduction quality, clinical symptoms, and radiographic signs of osteoarthritis at a median of 5.8 years.

Related Experiment Videos

Main Results:

  • Excellent reduction was achieved in 5/11 open reductions but none of the 3 percutaneous K-wire fixations.
  • At follow-up, 6/16 patients reported minor symptoms, and 9/16 were asymptomatic.
  • Radiographic signs of osteoarthritis were present in 6/11 patients.

Conclusions:

  • The study did not establish a clear relationship between reduction quality and the incidence of late symptoms or osteoarthritis.
  • Further research may be needed to clarify optimal treatment strategies for Rolando's fractures.