{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:49:49Z","timestamp":1740167389161,"version":"3.37.3"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003A variety of internal and external fixation techniques have been described for the treatment of Rolando fractures, but the optimal fixation method has not been clearly defined.<\/jats:p><jats:p>\n          Purpose\u2003The aim of the study was to describe the results and the long-term functional outcome of the application, under local anesthesia, of an external fixation system for the treatment of Rolando fractures.<\/jats:p><jats:p>\n          Patients and Methods\u2003In total, 22 consecutive patients (16 men) underwent surgical treatment for Rolando fractures by using two pairs of pins external fixator. All procedures were performed under local anesthesia (Xylocaine 2%) and an image intensifier. Patients were evaluated at regular intervals postoperatively and contacted by phone for long-term follow-up. Functional outcome was assessed using the validated Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH) tool.<\/jats:p><jats:p>\n          Results\u2003The mean age was 39.8\u2009\u00b1\u200914.2 years. The mean time from injury to surgery was 4.1\u2009\u00b1\u20092 days. The mean operative time was 16.3\u2009\u00b1\u20092.6\u2009minutes. All fractures were healed and no loss of fracture reduction was observed postoperatively. One patient developed wound erythema at the proximal pins, without requiring early removal of the implant, and another one experienced temporary numbness at the distribution of the superficial radial nerve. In total, 20 out of the 22 patients who were available for long-term follow-up did not report any complaints and could perform the daily activities without restriction. The average follow-up was 6.5\u2009\u00b1\u20091.2 years, and the mean Quick DASH score was 1.8\u2009\u00b1\u20093.<\/jats:p><jats:p>\n          Conclusion\u2003The two pairs of pins external fixator is a valuable option for the treatment of Rolando fractures and can be easily, quickly, and effectively applied under local anesthesia.<\/jats:p>","DOI":"10.1055\/s-0042-1749146","type":"journal-article","created":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T22:34:58Z","timestamp":1654554898000},"page":"301-305","source":"Crossref","is-referenced-by-count":0,"title":["Trapeziometacarpal External Fixation under Local Anesthesia for the Treatment of Comminuted Intra-Articular Thumb Metacarpal Fractures: Evaluation of Clinical Results and Long-Term Patient Satisfaction"],"prefix":"10.1055","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1305-2734","authenticated-orcid":false,"given":"Byron E.","family":"Chalidis","sequence":"additional","affiliation":[{"name":"1st Orthopaedic Department, Aristotle University of Thessaloniki School of Medicine, G. Papanikolaou Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Kitridis","sequence":"additional","affiliation":[{"name":"1st Orthopaedic Department, Aristotle University of Thessaloniki School of Medicine, G. Papanikolaou Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis","family":"Gigis","sequence":"additional","affiliation":[{"name":"1st Orthopaedic Department, Aristotle University of Thessaloniki School of Medicine, G. Papanikolaou Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis K.","family":"Givissis","sequence":"additional","affiliation":[{"name":"1st Orthopaedic Department, Aristotle University of Thessaloniki School of Medicine, G. Papanikolaou Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,6,6]]},"reference":[{"key":"ref1","first-page":"6632211","article-title":"A safe method for early rehabilitation of articular fracture at the base of thumb metacarpal bone","volume":"2021","author":"Y Oc","year":"2021","journal-title":"Adv Orthop"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1080\/02844311.1993.12005647","article-title":"Fractures of the hand. Distribution and relative incidence","volume":"27","author":"L M Hove","year":"1993","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"issue":"02","key":"ref3","first-page":"122","article-title":"[Recent fractures of the base of the 1st metacarpal bone. A study of a series of 138 cases]","volume":"13","author":"P Surzur","year":"1994","journal-title":"Ann Chir Main Memb Super"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1142\/S0218810413500147","article-title":"Treatment of Rolando fracture by capsuloligamentotaxis using mini external fixator: a report of 16 cases","volume":"18","author":"S Houshian","year":"2013","journal-title":"Hand Surg"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1097\/BTH.0b013e3181847652","article-title":"Management of Rolando fracture by modified dynamic external fixation: a new technique","volume":"13","author":"A A El-Sharkawy","year":"2009","journal-title":"Tech Hand Up Extrem Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1007\/BF00703448","article-title":"Rolando's fracture treated by closed reduction and external fixation","volume":"117","author":"G M Kontakis","year":"1998","journal-title":"Arch Orthop Trauma Surg"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1097\/00130911-200012000-00005","article-title":"Rolando's fracture: treatment by closed reduction and external fixation","volume":"4","author":"I R Proubasta","year":"2000","journal-title":"Tech Hand Up Extrem Surg"},{"key":"ref8","first-page":"1","article-title":"Studies on Bennett's fracture; anatomy, roentgenology, and therapy","volume":"193","author":"K O Gedda","year":"1954","journal-title":"Acta Chir Scand Suppl"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"403","DOI":"10.5435\/00124635-199911000-00006","article-title":"Fractures of the base of the first metacarpal: current treatment options","volume":"7","author":"A D Soyer","year":"1999","journal-title":"J Am Acad Orthop Surg"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1308\/003588412X13171221501140","article-title":"Static monolateral external fixation for the Rolando fracture: a simple solution for a complex fracture","volume":"94","author":"D Marsland","year":"2012","journal-title":"Ann R Coll Surg Engl"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1302\/0301-620X.50B1.91","article-title":"The conservative treatment of Bennett's fracture-subluxation of the thumb metacarpal","volume":"50","author":"A G Pollen","year":"1968","journal-title":"J Bone Joint Surg Br"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1177\/230949900801600208","article-title":"\u201cS\u201d Quattro external fixation for complex intra-articular thumb fractures","volume":"16","author":"A M Byrne","year":"2008","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"214","key":"ref13","first-page":"121","article-title":"Treatment of Bennett, Rolando, and vertical intraarticular trapezial fractures","author":"R J Foster","year":"1987","journal-title":"Clin Orthop Relat Res"},{"issue":"04","key":"ref14","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/0266-7681(91)90027-L","article-title":"Rolando's fracture","volume":"16","author":"O Langhoff","year":"1991","journal-title":"J Hand Surg [Br]"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1186\/s13018-021-02600-5","article-title":"Clinical efficacy of closed reduction and percutaneous parallel K-wire interlocking fixation of first metacarpal base fracture","volume":"16","author":"W Wang","year":"2021","journal-title":"J Orthop Surg Res"},{"issue":"220","key":"ref16","first-page":"46","article-title":"Fractures of the basal joint of the thumb","author":"F M Howard","year":"1987","journal-title":"Clin Orthop Relat Res"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.injury.2011.10.038","article-title":"Closed reduction intermetacarpal Kirschner wire fixation in the treatment of unstable fractures of the base of the first metacarpal","volume":"43","author":"A PA Greeven","year":"2012","journal-title":"Injury"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/0266-7681_90_90049-A","article-title":"Bennett's fracture","volume":"15","author":"K Kjaer-Petersen","year":"1990","journal-title":"J Hand Surg [Br]"},{"issue":"02","key":"ref19","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/0002-9610(50)90537-X","article-title":"Method of treatment of Bennett's fracture dislocation","volume":"80","author":"C J Wagner","year":"1950","journal-title":"Am J Surg"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/0266-7681_90_90009-S","article-title":"The Stockport Serpentine Spring System for the treatment of displaced comminuted intra-articular phalangeal fractures","volume":"15","author":"N R Fahmy","year":"1990","journal-title":"J Hand Surg [Br]"},{"issue":"05","key":"ref21","first-page":"1038","article-title":"Development of the QuickDASH: comparison of three item-reduction approaches","volume":"87","author":"D E Beaton","year":"2005","journal-title":"J Bone Joint Surg Am"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1749146.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T23:18:01Z","timestamp":1690586281000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1749146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,6]]},"references-count":21,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2023,7,28]]},"published-print":{"date-parts":[[2023,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1749146","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"type":"print","value":"2163-3916"},{"type":"electronic","value":"2163-3924"}],"subject":[],"published":{"date-parts":[[2022,6,6]]}}}