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Treating Posttraumatic Stiffness Using the Suzuki Frame for Proximal Interphalangeal Joint Fractures
Ashwin Deshmukh1, Donna Taneja1, Amit Patil1
1Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India.
Abstract:
Fractures involving the proximal interphalangeal joint (PIPJ) are common and can significantly impact the function of the hand. These injuries often result from trauma, such as direct axial impact, and require appropriate management to restore mobility and prevent complications. The Suzuki frame application is a minimally invasive external fixation technique that permits early mobilization while maintaining joint stability. A 26-year-old male presented with pain and stiffness in the PIPJ of the third phalanx of his right hand, following a traumatic injury 3 weeks earlier. Clinical examination and radiographic evaluation confirmed a comminuted intra-articular fracture. The Suzuki frame was applied to facilitate fracture reduction and allow controlled joint movement during healing. Over a 6-week follow-up period, the patient demonstrated significant improvement in joint function, with good pain relief and restored mobility. The Suzuki frame fixation is an effective treatment modality for complex PIPJ fractures with stiffness, offering a balance between stability and early movement. Its minimally invasive nature, ease of application, and good functional outcomes make it a valuable option for managing these injuries.
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