Rolando Fracture Complication After Nonstandard Surgical Treatment

The article describes the case of a patient who previously suffered a Rolando fracture and was treated in an innovative way using a dual mobility endoprosthesis of the left carpometacarpal (CMC) joint of the thumb. Three years after the surgery, as a result of an injury (falling down the stairs), the endoprosthesis dislocated. Dislocation of the thumb CMC joint prosthesis did not affect the clinical condition of the hand. From the assessed parameters, only a slight decrease in the global grip strength of the hand was observed. The patient himself assessed his level of fitness as satisfactory. We decided to try conservative treatment of the patient. The use of conservative treatment and observation allowed for the avoidance of a complicated revision surgery.