Hemi-hamate arthroplasty for pilon fractures of finger

Korambayil, Pradeoth Mukundan; Francis, Anto

doi:10.4103/0970-0358.90822

Cited by 27 publications

(22 citation statements)

References 14 publications

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“…56,57 Several reports of this technique in small case series have had variable results, with arc of motion ranging from 67° to 96°. 58-60 In the largest series published to date, Calfee et al report the results of hemi-hamate arthroplasty in 33 patients with comminution of at least 50% of the articular surface of the middle phalanx. 61 PIPJ arc of motion for acute cases (71°) was similar to chronic cases (69°) at follow-up of 4.5 years.…”

Section: Dorsal Fracture-dislocationmentioning

confidence: 99%

Current Concepts in Treatment of Fracture-Dislocations of the Proximal Interphalangeal Joint

Haase

Chung

2014

Plastic and Reconstructive Surgery

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Background Proximal interphalangeal joint fracture-dislocations are common injuries that require expedient and attentive treatment for the best outcomes. Management can range from protective splinting and early mobilization to complex operations. In this review, the current concepts surrounding the managment of these injuries are reviewed. Methods A literature review was performed of all recent articles pertaining to proximal interphalangeal joint fracture-dislocation, with specific focus on middle phalangeal base fractures. Where appropriate, older articles, or articles on closely related injury types were included for completeness. The methodology and outcomes of each study were analyzed. Results When small avulsion fractures are present, good results are routinely obtained with reduction and early mobilization of stable injuries. Strategies for management of the unstable dorsal fracture-dislocation have evolved over time. To provide early stability, a variety of techniques have evolved, including closed, percutaneous, external, and internal fixation methods. Although each of these techniques can be successful in skilled hands, none have been subjected to rigorous, prospective, comparative trials. Volar dislocations fare less well, with significant loss of motion in many studies. Pilon fractures represent the most complicated injuries, and return of normal motion is not expected. Conclusion The best outcomes can be achieved by (1) establishing enough stability to allow early motion, (2) restoring gliding joint motion rather than non-congruent motion, and (3) restoring the articular surface congruity when possible. Although the majority of literature on this topic consists of expert opinion and retrospective case series, the consensus appears to favor less invasive techniques whenever possible.

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Section: Dorsal Fracture-dislocationmentioning

confidence: 99%

Current Concepts in Treatment of Fracture-Dislocations of the Proximal Interphalangeal Joint

Haase

Chung

2014

Plastic and Reconstructive Surgery

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“…There is a sentiment among some hand surgeons that this joint universally does well post-injury, assuming anatomic alignment and stability. This appears to be supported by the use of the hemi-hamate autografts with limited morbidity, despite the removal of the dorsal half of the hamate articular surface [8,10,20]. Capo et al recently assessed donor site stability following hemi-hamate graft harvesting.…”

Section: Discussionmentioning

confidence: 99%

Modeling the Articular Surface of the Hamate with the Fourth and Fifth Metacarpal Bases with Three-dimensional Laser Scanning

McRae¹,

Dreckmann²,

Sandhu³

et al. 2019

Cureus

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“…Most investigators recommend early active motion (between 1 day and 2 weeks) 39,[82][83][84][85][86] with an extension block splint to prevent tendon adhesion and joint contracture. Subsequently, patients are allowed full active ROM of the joint after radiographic graft union.…”

Section: Hemi-hamate Replacement Arthroplastymentioning

confidence: 99%