DOI: https://doi.org/10.36347/sasjm.2026.v12i06.002

Pages: 588-591

We present the case of a 56-year-old right-handed patient, with no significant medical history, who sustained a complex fracture of the base of the second phalanx (P2) of the third finger of the right hand during a sporting activity. Clinical examination revealed a swollen, painful finger with radial deviation and inability to actively flex. Standard radiographs showed a comminuted intra-articular fracture of the base of P2. Delayed emergency osteosynthesis was performed using the Suzuki technique (percutaneous trans-articular Kirschner wires and elastic traction). The article details the surgical steps: insertion of two 1.8 mm Kirschner wires, one transfixing the head of P1 and the other transfixing the head of P2, connected by an elastic band maintaining 5 mm of distraction. Rehabilitation began the next day with protected active and passive mobilisations. At 6 weeks, after wire removal, the patient recovered 80° of active flexion and full extension. The discussion highlights the advantages of the Suzuki technique for complex P2 fractures compared to standard pinning or plating.