Suzuki Frame Application (Pin and Rubber Dynamic Traction)

Description

The video presents a detailed surgical demonstration of applying Suzuki traction, a technique originally described by a Japanese surgeon in 1994 for treating fractures around the joints. The procedure involves using three pins: an axial traction pin for the proximal phalanx, a hook pin for the middle phalanx, and a reduction pin for added stability or correction of subluxations. The surgeon emphasizes proper pin placement, the size of wires to use—primarily 1.2 mm K-wires—and the importance of understanding the biomechanics involved, especially when addressing either dorsal or volar subluxations. Throughout the video, the surgeon outlines each step, demonstrating on a patient who has a complex fracture in their right little finger. The surgeon illustrates how to effectively place the pins and visualize their correct positioning through images and X-rays, ensuring they are parallel and appropriately aligned to achieve optimal surgical outcomes. The technique is advantageous as it allows the patient to begin mobilization soon after surgery without immobilizing the injured finger. The video concludes with an encouragement for viewers to adopt this technique for its excellent functional results when performed correctly.

DOI: 10.1302/3114-210759

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