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Complete articular fracture of the proximal end segment (Rolando) of the 1st metacarpal

$Complete articular fracture of the proximal end segment (Rolando): MCP and wrist joints immobilized with a thumb spica cast or thermoplastic splint$

Skill level

Equipment

Main indications

$Complete articular fracture of the proximal end segment (Rolando): stabilization with K-wires to counteract the action of abductor pollicis longus (APL) combined with intermetacarpal transfixation for rotational stabilization$

Skill level

Equipment

Main indications

$Complete articular fracture of the proximal end segment (Rolando): Fixation with a T-plate$

Skill level

Equipment

Main indications

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Complete articular fracture of the proximal end segment (Rolando) of the 1st metacarpal

Nonoperative treatment

Main indications

K-wire fixation

Main indications

Plate fixation

Main indications