Comminutive fracture of the trapezium treated by ligamentotaxis: a case report

We report a case of trapezium fracture treated by continuous traction. The fracture involved the trapezium alone and was associated with scapho-trapez ium subluxation. Three percutaneously inserted pins were used for traction, one scapho-capitate pin and two pins in the first and second metacarpal bo nes. This allowed distraction of the entire first row. Good anatomic recons truction of the trapezium was evidenced radiographically. The functional ou tcome was quite satisfactory with mobility strictly the same as the healthy side and complete pain relief.