Modified Dynamic Suzuki Wire Frame for Proximal Interphalangeal Joint Fracture – A Case Report

Complex comminuted fractures of the base of the middle phalanx, proximal phalanx and proximal interphalangeal joint are a treatment challenge, as deformity, stiffness and loss of function are quite frequent and disabling, following surgical treatment. We present a case of a 31-year male who suffered from comminuted intra-articular fracture and dislocation of the middle phalangeal base of the little finger and middle finger of the same hand, a year apart. Both were closed injuries of the dominant hand. We used a modified dynamic Suzuki wire frame for treatment of both fractures in an acute setting and at late presentation for the middle finger and little finger respectively. Minimal soft tissue injury, capsulo-ligamentotaxis, early mobilisation with frame and early return to function were key aspects of this treatment. Modified dynamic Suzuki frame is a simple, minimally invasive, dynamic external fixation device, that allows early motion at PIPJ and eventually good remodelling and function at PIPJ and DIPJ, even in the long term. It can be used in modified forms for comminuted fractures of bases of distal and proximal phalanges as well.