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( A ) Anteroposterior X-ray of the right hand shows a Rolando fracture of the base of first metacarpal. ( B ) Intraoperative fluoroscopic view of fracture reduction and fixation with a two-pair pins external fixator. ( C ) Anteroposterior hand X-ray at 6 weeks postoperatively shows healing of the fracture. ( D ) Anteroposterior hand radiograph at 1 year postoperatively shows complete fracture union and no displacement or arthritis.
