Early Active Motion by Suzuki Pins and Rubber Traction After Intramedullary Reduction of an Impaction Fracture

Case: A 39-year-old man fell during a mountain hike and injured his left, nondominant ring finger, presenting with swelling, tenderness, and crepitus of the proximal interphalangeal joint. A computed tomography scan demonstrated a displaced intra-articular impaction fracture of the middle phalanx base. Surgery was performed with a combination of intramedullary reduction by K-wire and dynamic external fixation, using a Suzuki frame, to allow early active motion and prevent collapse of the reduced fragments. At 1-year follow-up, the clinical and radiological results were excellent. Conclusion: The impaction fracture of our patient was successfully treated with Suzuki pins and rubber after intramedullary reduction by K-wire.