Non-traditional Surgical Treatment of a Rolando Fracture

Rolando fractures are comminuted, multifragmented, complete intra-articular fractures at the base of the thumb metacarpal. A review of the literature and our clinical practice shows that it can be treated in many ways. Patients with a non-displaced fracture require immobilization of the thumb. Nonoperative treatment is rare. Displaced fractures should be treated surgically. The primary goal of Rolando fracture treatment is to achieve anatomical reduction, ensuring that the fractured bones realign in their original anatomical position. As described in the article, the procedure of implanting an endoprosthesis into the carpometacarpal (CMC) joint of the thumb after an injury to the base of the first phalanx is an innovative method not yet described in medical sources. Our aim was to quickly return the patient to the full functional capacity of the upper limb while minimizing the risk of degenerative changes in the joint. We believe that although the proposed method is much more expensive compared to other surgical treatment techniques, it can be used in the treatment of young people, especially those with multifragmentary forms of fracture in whom there is a high risk of degenerative disease of the CMC joint.