Management of Rolando and Bennett Fractures Treatment with Pin and Plaster (A New Technique)

Intra-articular fractures of Thumb are the most common fractures occurred in children and elderly; divided into Bennett & Rolando fractures. The purpose of this article is to introduce new approach for these fractures. In this approach, after pre-surgery techniques; a 1.5-2 mm pin is placed in the proximal distal phalanx. Next, the best reduction is achieved by imposing pulling through the pin and rotating motion under C-Arm. Short forearm cast is then used after that cast changing to thumb Spica cast and the pin is incorporated in the cast, the position of thumb during casting in abduction and pronation depends on the reduction under C-Arm. After the operation, the reduction is controlled by radiography. Within 4-6 weeks, the cast is removed, the pin is taken out, and active and passive joint movements begin. In this study, we introduce our technique used in the management of 4 cases. The results were found to be promising, with an excellent range of motion. In spite of controversial choice of treatments, we recommend this method as a cost-benefited, acceptable and applicable method for patients and physicians.