Hand Fracture System Cadaveric Lab Part 2: Rolando Fracture Hook Plate

Professor Randy Bindra, MCh Orth, MS Orth, FRCS, demonstrates the approach and implantation of the Rolando Fracture Hook Plate, one of the specialty plates in the Acumed Hand Fracture System. The 1.3 mm Rolando Fracture Hook Plate is designed for a three-part fracture pattern at the base of the first metacarpal. The prongs on the proximal end of the Rolando Fracture Hook Plate should contact the dorsal surface of the abductor pollicis longus (APL) tendon and support any comminution of the base of the first metacarpal. These prongs are not intended to compress the APL tendon down to the bone and a gap may be visible between the plate prongs and the bone on X-ray.