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The Suzuki frame is an external fixation device used to treat complex finger fractures, especially intra-articular fractures. It uses Kirschner wires and rubber bands to create traction and stabilize the joint. Patients must exercise special precautions while wearing the frame, and follow medical advice carefully.
A Suzuki frame is an external fixation device used in the treatment of complex finger fractures. Creates traction around the fracture to promote smooth, healthy healing with minimal bone loss. The device is named after the Japanese physician who developed it in the 1990s and is used in clinical settings around the world. For a patient, wearing a Suzuki frame may be uncomfortable, but the improved prognosis may be worth the temporary hardship.
Finger fractures are notoriously difficult to treat because the fingers are difficult to throw and immobilize, and patients must maintain as much function as possible as the fracture heals. In the case of an intra-articular fracture, a fracture that extends into the finger joint, it can be very difficult to set the fracture and keep it in place as it heals. A Suzuki frame is ideal for this application, and while originally developed for the thumb, the device can also be used on other fingers.
To fit a patient with a Suzuki frame, pins known as Kirschner wires are driven into the bone and rubber bands are used to create traction and stabilize the joint. Padding can be used to make the finger feel more comfortable. An x-ray can be taken to verify the position of the frame and the patient can be released to go home. During follow-up appointments, healing will be checked with additional X-rays, until it is safe to take the traction off and remove the frame.
While wearing a Suzuki frame, patients need to exercise some special precautions. The finger cannot be shaken, as it may displace the fracture or rotate the frame out of position. Besides being painful, this could also inhibit healing. Pins make the finger vulnerable to infection and the site must be kept clean and dry. Hygiene and other tasks of daily living can be challenging, especially if the injured toe is on the dominant hand, and some patients may need assistance while they are healing.
An orthopedic surgeon or hand surgeon can determine if a Suzuki frame is needed and position it appropriately on the hand. Patients must follow medical advice carefully and it is especially important to take antibiotics or other prescribed medications during the healing process. If signs of inflammation, infection, or other complications occur, your surgeon should be called right away, and you may need to make an appointment to see a doctor.
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