Rolando Fracture Fixation

A Rolando fracture occurs when the first metacarpal bone in the hand, where it connects to the wrist, sustains a specific type of fracture. This fracture presents a Y-shaped or T-shaped pattern involving the joint surface. Additionaly, high-energy trauma, such as a fall onto an outstretched hand or a direct blow to the thumb, often causes this injury. While Rolando fractures are less common than other hand fractures, they can cause significant pain, swelling, and thumb and hand dysfunction. Moreover, treatment typically involves immobilization with a cast or splint. Futhermore, in some instances, surgical intervention may be necessary to realign the fractured bone fragments and restore proper joint function. Additionally, receiving prompt medical attention deems crucial to prevent complications and promote optimal healing. However, do not confuse this fracture with a thumb fracture.

Various methods fix Rolando fractures, each tailored to injury severity and characteristics. Surgeons commonly use open reduction and internal fixation (ORIF). This entails making surgical incisions to realign fractured bone fragments, followed by placing screws, plates, or wires to stabilize the fracture. Physicians use CRPP (Closed Reduction Percutaneous Pinning) as another method. This method aligns the fracture without surgery, often followed by applying a cast or splint to immobilize the hand and promote healing. CRPP involves inserting pins through the skin into the fractured bone for stabilization. Sometimes, external fixation is employed, inserting pins or screws into the bone above and below the fracture site, connected to an external frame. Additionally, this maintains alignment and stability while allowing for swelling and soft tissue healing.