Suzuki Frame Application (Pin and Rubber Dynamic Traction)

[@vithalsudhir]

Sir recently I did this procedure. I watched this video many times and it gave me the confidance. Immensely grateful to you for making an immaculate video. You have taken Orthopaedic teaching to next level.

[@DrVinayKumarSingh]

So nice of you

[@chirag-dh7lo]

Did my first Suzuki frame because of you sir. Immensely grateful. Thanks sir

[@DrVinayKumarSingh]

Makes me happy

[@mohamedashry1317]

The best orthopedic surgery channel on KZbin

[@DrVinayKumarSingh]

Thank you

[@rranjeet1962]

Sir U r truely blessing to orthopedic Thank you very much for this rare video

[@DrVinayKumarSingh]

Thank you Ranjeet for your kind words

[@rranjeet1962]

Sir can you upload video of distal femur LCP fixation Thank you 😊

[@drmosharaf9574]

The way you present every sx is a great reward for orthopedic field ...so much love sir ❤️ May Allah bless you a happy and long life to educate us . Thank you legend 🙏

[@DrVinayKumarSingh]

Thank you Moshasraf

[@mostafagaweesh9571]

You are a super star in our hospital dr.kumar , all the ortho residents watch your videos keep up the good work and many thanks

[@DrVinayKumarSingh]

Thank you so much for your kind words. Where do you work?

[@ImranAli-dq2ke]

Sir you are blessing for young orthopaedic surgeons. It is my humble request to you please make video of every different case so that whenever we need help we can take it from your video, as you know that orthopedic surgery is so much extensive we can't learn everything during short period of our residence training

[@DrVinayKumarSingh]

Thank you. Will try

Very good option of treatment...here in my hospital we got mini external fixators..i will try to implement this frame ..a very useful and descriptive video...congrats Dr...👍👍👍👌👌

[@DrVinayKumarSingh]

Thank you

[@debjitchatterjee6753]

Sir I wark ortho setup within 2 yr .... You help and motivate me to learn more and more❤

[@DrVinayKumarSingh]

Keep it up

[@spideyman5336]

Sir you are great, Huge fan from Pakistan… I am a new Resident

[@DrVinayKumarSingh]

Thank you Spidey man. I like your name😀

[@spideyman5336]

@@DrVinayKumarSingh Thanks Great Sir for replying... My Actual Name is Dr Mafzaal Chaudhary i regularly watch your videos and learnt a lot from you Sir... You are indeed an asset of Orthopedic Surgery and Great mentor

[@DineshGupta-nk5ql]

Sir actually after seeing your complete video no need to read that paper also thank you so much sir..

[@DrVinayKumarSingh]

My pleasure

[@abhishekjain4542]

Sir ,I did the same case today..thank you for this beautiful vedio, you explain everything very nicely

[@DrVinayKumarSingh]

Thank you

[@73charaka]

Campbell has depicted a few of such constructs in 13th ed.. I really appreciate the effort you put in your videos to squeeze out maximum understanding.

[@DrVinayKumarSingh]

Thank you Aftab

[@aakashbasu5950]

@@DrVinayKumarSingh a h o fall from height of

[@aakashbasu5950]

@@DrVinayKumarSingh a h o fall from height of the pt and the

[@aakashbasu5950]

@@DrVinayKumarSingh a

[@aakashbasu5950]

@@DrVinayKumarSingh a x c o b l LL set up a time of the

[@drihtishamanjum9809]

Excellent...very generous orthopedic surgeon spreading the skills

[@DrVinayKumarSingh]

Thank you

[@achardrvasudhendraadamyaho7336]

Nice and wonderful explanation ! We are all proud of your expertise Dr. Singh Sab !!

[@DrVinayKumarSingh]

Thank you

[@mahmoodfaris1308]

Thank you dear doctor for the incredible videos you make. SHO orthopedics, Mosul, Iraq

[@DrVinayKumarSingh]

My pleasure Faris

[@carlossanmartinmd1222]

Dr. Thanks very much for your effort in teaching many very interesting techinques congratulations from Peru

[@DrVinayKumarSingh]

Thank you Carlos

[@ahmedhelal4288]

Thanks so much for your efforts and your elaborated description including techniques and useful tips , always waiting for your new videos......thanks

[@DrVinayKumarSingh]

Thank you Ahmed

[@남재준대학원박사과정]

Thank you so much for a wonderful demonstration of the procedure!

[@DrVinayKumarSingh]

Thank you

[@girihari9909]

Excellent sir , thanks for extreme hard wark to teach for young surgeons 🙏🙏

[@DrVinayKumarSingh]

My pleasure Hari

[@AbdelRahmanMarridi]

congrats on an excellent presentation of the technique with good explanation, highly recommended.

[@DrVinayKumarSingh]

Thank you

[@DRASJADSIDDIQUI]

You are the best teacher, thanks sir

[@DrVinayKumarSingh]

You are most welcome

[@aihammahdi8698]

it is dissapointing when I see someone who dislikes this great effort

[@DrVinayKumarSingh]

It's ok

[@rakeshsinha_neoRAKESH]

I found this video informative and very well explained sir definitely gonna benefit my patients .. TQ 🙏

[@DrVinayKumarSingh]

Thanks

[@saswatsamant5912]

Excellent video. So clearly elucidated. Thank you.

[@DrVinayKumarSingh]

Thank you Sashwat

[@acrossworld316]

Vinay sir you are just wonderful🫡, learning a lot of stuff from you🙏🙏🙏 thank you so much for being there for us

[@DrVinayKumarSingh]

So nice of you. Please share the channel and ask 5 people to subscribe.

[@ashwanisinha2420]

Doc you are marvellous...as always..

[@DrVinayKumarSingh]

Thank you Ashwani

[@The8tan]

I just had this surgery today, that’s why I’m here, not painful, scary at first, also after when anesthésia wears off, just a slight burning feeling. Now curing. This was really interesting

[@DrVinayKumarSingh]

Thank you

[@SurajKumar-yb1zo]

Great sir your explanation is ossm student of bhms ___ Always waiting for your new video

[@DrVinayKumarSingh]

Thank you Suraj

[@drpradeepkumawat124]

Really very nice technique....I hv learnt a lot from you...your teaching aspect is very nice specially for young orthopaedic surgeon like me. thank you very much sir... 🙏🙏

[@DrVinayKumarSingh]

My pleasure Pradeep

[@ganeshb3024]

Thank you very much Sir.. 👍 Did today and got good result.. 🤗

[@DrVinayKumarSingh]

Great news

[@MuhammadAsif-ul4dx]

Great dr sab.. Always Keep calm and happy.

[@DrVinayKumarSingh]

Thank you

[@obsessed33]

Great teacher! Thanks from Switzerland

[@DrVinayKumarSingh]

You are welcome!

[@vishwajeetdubey6475]

Great video, same surgery happened with me yesterday in AIIMS Delhi. Just 1 thing, please upload a physiotherapy video for K-WIRE Suzuki Frame patients 👍

[@DrVinayKumarSingh]

Will try

[@pranjalkalita2700]

Thank you so much sir. Will be waiting for your next video ☺️

[@DrVinayKumarSingh]

Thank you Pranjal

[@TheMopangbend]

I had a very similar injury. K wire drilled into end of small finger through phalanx, I now have no articulation in my last (distal) joint. I think this Suzuki frame would have preserved that. I wish I could upload X-rays for you to look at as they look so similar… I however did not have a good outcome as the most distal joint is fused.

[@DrVinayKumarSingh]

Yes that's the usual story or little movement post surgery

[@Dr.abdullatefSannin]

Thanks Dr. Vinay for this video..

[@DrVinayKumarSingh]

My pleasure

[@drdement1]

Nicely done. I smiled when you noticed the hole in the glove. Happens to me all the time. I usually change 3-4 times during surgery, but I wear double gloves)

[@DrVinayKumarSingh]

😀yes you should always double glove.

[@dhirajraiyani7571]

Th

[@drmilindtanwar]

You are such a good energy Dr. Vinay. Would love to meet you sometime in person. Excellent guidance. Regards.

[@DrVinayKumarSingh]

It would be honour Millind to meet you

[@amineyaga]

Your an exemple. In my hospital all the résidents watchs your video Respect from Algeria

[@DrVinayKumarSingh]

Thank you. Convey my best wishes to your residents.

[@ganemhujera6004]

thank you for the very nice explanation .my question is the shaft of m phalanx is displased vollary so why didnt you make the traction wire vollar to the reduction wire to correct the dispacement of the shaft of phalanx exactly in the same way you explained by drawing? thank you for all valuable videws .

[@DrVinayKumarSingh]

It's was not displaced volar. Looked fine hence didn't go volar

[@rongfuster]

How to avoid injury to digital artery and nerve during pin insertion?

[@DrVinayKumarSingh]

Stay at the junction of dorsal and volar skin.

[@rahulkulkarni5926]

Very nice explanation of the procedure

[@DrVinayKumarSingh]

Thank you Rahul

[@Doudoujack64]

Thanks for the explanation... From Senegal

[@DrVinayKumarSingh]

My pleasure. Regards from India. 🇮🇳

[@rohitkaware3136]

Thank You Sir for such a fine & delicate surgery demonstration of SUZUKI frame. Sir, I have a request, will you plz make a video for JESS fixator & their assembly. Thank you

[@DrVinayKumarSingh]

Sure

[@MRANGUD]

Thank you. It was very helpful. Would you let med know when you remove the frame?

[@DrVinayKumarSingh]

At three to four weeks

[@MRANGUD]

@@DrVinayKumarSingh thank you for replay. You removes more early than I expected.

[@momentawhid]

Excellent, Nice Illustration I will try it with our patient

[@DrVinayKumarSingh]

Let me know how it went?

[@GuitarDoco]

Thank you, very informative . When do we remove the wires? And is this procedure done only for middle phalanx # or any phalangeal # ?

[@DrVinayKumarSingh]

Four weeks

[@danielgomezcadavid01]

what did you use for rubber band ? excellent video. ty

[@DrVinayKumarSingh]

It's shwon its made up of I/V set rubber tubing.

[@vikrampaode6357]

You can also use dental rubber bands . I borrow it from my dental surgeons colleagues

[@a1reader]

Thank you for the nice video. However, there is clear volar subluxation of the middle phalanx on the final radiographs. Also having the reduction wire dorsal to the traction wire might have helped in mitigating this.

[@DrVinayKumarSingh]

Thank you for your kind feedback.

[@praveenreddy07]

Nicely explained sir, thank you…

[@DrVinayKumarSingh]

Thank you Praveen

[@faizansalam326]

Excellent demonstration Have watched most of your videos Very helpful For how long should this frame be kept? And will the patient need definitive internal fixation later?

[@DrVinayKumarSingh]

Four weeks

[@meditationandrelaxingvideo1040]

Super se b uper 😍

[@DrVinayKumarSingh]

Thank you Farrukh

[@srisridhar9606]

Hi , Nice demo for pip jt , What abt dip jt dislo / subluxation , it will nice to see if u demonstrate that also , I always watch ur videos as a guide , keep posting such videos

[@DrVinayKumarSingh]

Ok sure

[@kartoffelbanane]

Very well done, but how do you make sure that the pins are positioned parallely? Or Donnerstag you accept a slight angle between them in the bone?

[@DrVinayKumarSingh]

It comes with experience

[@wassimn75]

Thank you very much from Algeria...

[@DrVinayKumarSingh]

My pleasure

[@rawezhmajid9435]

Just amazing.. Sir , in this particular case wasn't better for the reduction wire to be under axial traction wire?

[@DrVinayKumarSingh]

I don't think so

[@farajalkizim9050]

Thank you, this is excellent. What did you use to improvise for the rubber bands?

[@DrVinayKumarSingh]

Tubing from drips

[@ugurdemirci2954]

bizim teller 0.6cm oldu, sizinki kaç cm oldu brother?

[@DrVinayKumarSingh]

Thank you

[@sunilmallojwar6293]

superb video sir👍🏻

[@DrVinayKumarSingh]

So nice of you

[@drkiwinpm]

Thank you sir for this video.. was very helpful..

[@DrVinayKumarSingh]

Thank you Mohamed

[@adeebboushi1199]

sehr helfig.......vielen dank 👍

[@DrVinayKumarSingh]

Thank you

[@amirimalik7059]

Very nice.is there no risk of vasculaire injures

[@DrVinayKumarSingh]

No

[@janmohammadkhalid7591]

Thank you sir. Can we us this kind of fixation, to oder site of fingers?

[@DrVinayKumarSingh]

Yes

[@DrVinayKumarSingh]

Yes

[@umairumair7280]

Thank you sir, Great vedio 👍

[@DrVinayKumarSingh]

Thank you

[@arunlal3879]

Excellent sir... Sir other than phalanx where else can it be used?

[@DrVinayKumarSingh]

You can modify it for DIP injury as well

[@sebastiandroguett3152]

Great video Thank you so much!!

[@DrVinayKumarSingh]

My pleasure

[@drabhishekorthpaedics]

Sir physiotherapy and traction for 3weeks ? Pin track dressing ? Whats the post op management sir? Nice video sir, rare technique nicely explained

[@DrVinayKumarSingh]

Active and passive ROM straight away and no pine site dressing. Leave it open.

[@rijumali6963]

Excellent demonstration sir. Sir when to remove the wires?

[@DrVinayKumarSingh]

Four to six weeks

[@drjameerali]

Can the same be used for thumb sir ?? Any modifications to be done when using on thumb ?

[@DrVinayKumarSingh]

Yes off course

[@katytj643]

In my country i only have either 1 or 1.5 mm which one should i use for the proximal phalanx? I dont have 1.2

[@DrVinayKumarSingh]

1mm

[@katytj643]

​@@DrVinayKumarSinghthank u so much for taking the time and answering comment🙏🙏🙏🙏

[@shoebmurad1106]

Excellent Very much effective

[@DrVinayKumarSingh]

Thank you Shoeb

[@038phantuong8]

thank you so much, sir!

[@DrVinayKumarSingh]

My pleasure

[@kuganpriyanandan9452]

Hi Doctor… I am from Sri Lanka, I do have a question regarding my dislocated 5th finger of right side leg due to an accident caused two months back (23-11-22), surgery and the treatment was done but still the dislocation is same, i reconfirmed it by an Xray taken recently. I’m really unable to move my finger. Could you please give me suggestion on this?

[@DrVinayKumarSingh]

I need to see your Xrays

[@kuganpriyanandan9452]

@@DrVinayKumarSingh Thank you fir the reply Doctor.. any option to send my Xrays please?

[@maheshmutha3247]

Nicely executed,Done under which anasthesia? Frame for how many weeks?

[@DrVinayKumarSingh]

Ring block and frame is kept for four to six weeks

[@sofiacasanuevacrespo8010]

Well, I just had surgery today for this, and it hurts a lot and my finger is stiff. When did they remove them? Is the rehabilitation slow? Do you manage to regain strength and mobility over time, or do you have less range? thank you

[@DrVinayKumarSingh]

Pian will get better. If all goes well you should remain strength as before

[@raulortega8782]

Excelente 👏🏻👏🏻

[@DrVinayKumarSingh]

Thank you Raul

[@forathassan2727]

Thank you sir, it is a nice informative surgery, God bless you sir.

[@DrVinayKumarSingh]

Thank you Forhat

[@nasrelkazaz4449]

Very nice video thanks for your help

[@DrVinayKumarSingh]

Most welcome

[@radzelimohdramli4360]

Does the bulkiness of the frame disturb rehabilitation?

[@DrVinayKumarSingh]

Not at all

[@medcall7911]

Very nice Thanks dear doctor from Kurdistan

[@DrVinayKumarSingh]

My pleasure

[@Subhashyashmahala]

V nice 👍

[@DrVinayKumarSingh]

Thank you Subhash

[@Doremoniscool]

Wonderful Sir,when do we remove the wires?

[@DrVinayKumarSingh]

Four to six weeks

[@jamesjamir1687]

Sir..can this surgery be done in a 1 month old fracture subluxation of pip joint with stiffness of pip jt

[@DrVinayKumarSingh]

Unlikely to work after one month

[@jamesjamir1687]

@@DrVinayKumarSingh thank u sir

[@hashimmehat1562]

شكراً لك

[@DrVinayKumarSingh]

My pleasure

[@subinjoseph2370]

Sir, What is the cause of flexed finger at PIPJ, 2 Weeks post suzuki frame application ? Thank you.

[@DrVinayKumarSingh]

Keep doing physiotherapy and consult your surgeon

[@kabuliu]

优秀🤙👍

[@DrVinayKumarSingh]

Thank you

[@ziaulalam3382]

Excellent, sir. I want to try it in pilon # of phalanx. your video will help me lot.❤️❤️

[@DrVinayKumarSingh]

Yes it will be useful for that fracture type

[@ВладиславИпатенко]

Well done!!!

[@DrVinayKumarSingh]

Thank you

[@rameshromeo2000]

How to avoid injury to digital neurovascular bundle ?

[@DrVinayKumarSingh]

Stay at the junction of Doral dark and volar light skin

[@rameshromeo2000]

@@DrVinayKumarSingh thank you

[@thanhtupham4726]

it is simply amazing :D

[@DrVinayKumarSingh]

Thank you

[@anandb331]

Sir I can only flex my middle finger at 60 degree.It is 2month old.Should i go for this surgery..

[@DrVinayKumarSingh]

Its too late

[@anandb331]

Dr it will not be effective by doing now..

[@anandb331]

My doctor advice me to do phsio for some months..

[@anandb331]

When I do phsio i gan go for 110 degree but after half an hour that joint get stiff..

[@anandb331]

Pls replay doctor..

[@MARTHIAN13]

Perfecta explicación 👍

[@DrVinayKumarSingh]

Thank you

[@sameerimrose1118]

Sir can we keep suzuki frame for 15 days old fractures?

[@DrVinayKumarSingh]

Worth trying

[@sameerimrose1118]

Thank you sir.. Tried today, got good reduction.

[@bhavnarathod5120]

​@@sameerimrose1118how was the recovery

[@rizasiddiqui4916]

Hi sir, for how long would u advise to keep the wires in-situ?

[@DrVinayKumarSingh]

Four weeks

[@anwarorakzai5916]

Excellent sir

[@DrVinayKumarSingh]

Many many thanks

[@ImranAli-dq2ke]

Respected sir how to avoid injury to digital artery and nerve during insertion of pins?

[@DrVinayKumarSingh]

Enter at the junction of dorsal dark and volar light skin

[@anupbarman3969]

Thank you so much sir…!

[@DrVinayKumarSingh]

My pleasure Anup

[@fuadelias3265]

Thank you sir🙏.But I am a bit confused with the middle pin with out any attachment.

[@DrVinayKumarSingh]

Please read a paper on Suzuki frame

[@DrPrateekJoshi]

thanks

[@DrVinayKumarSingh]

My pleasure Prateek