Luxofractura de trapecio, una solución sencilla para una lesión compleja

Abstract

Trapezium fractures correspond to less than 1% of all body fractures and 3-5% of carpal bone fractures. The diagnosis is confirmed with orthogonal radiographs of the wrist. Treatment can be conservative or surgical depending on the fracture pattern and the patient's functional demand.
OBJECTIVES: Bibliographic review of trapezium fractures and currently available management options through the analysis of a clinical case.
METHODS: case report: young adult male patient with comminuted trapezium fracture + trapeziometacarpal joint dislocation, diagnosis, and clinical resolution
RESULTS: Through closed reduction and percutaneous fixation with 3 Kirschner nails, the articular surface and height of the trapezium was recovered, and a fourth intermetacarpal nail was added, a clinically stable joint with excellent functional results was confirmed.
CONCLUSIONS: A familiar technique known by orthopedists is a simple and effective alternative in the treatment of complex trapezium fractures, recovering the height of the bone and restoring the joint surface, as well as maintaining joint stability and avoiding damage to soft tissues and early rehabilitation with rapid functional recovery at low cost.