PMID: 16520599Mar 8, 2006Paper

PIP Fracture/Dislocation Treatment Technique: Use of a Hemi-Hamate Resurfacing Arthroplasty

Techniques in Hand & Upper Extremity Surgery
Rafael M M WilliamsThomas R Kiefhaber

Abstract

The nature of injury following a PIP fracture dislocation is determined by the direction of force transmission and the position of the joint at the time of impact. Dorsal dislocations with palmar lip fractures are the most frequently encountered and can be classified based on stability. The degree of stability is directly determined by the amount of middle phalangeal palmar lip involvement; the larger the palmar lip fracture, the more unstable the joint becomes. When there is persistent instability or greater than 30 degrees of flexion is required to maintain reduction, treatment must be aimed at reconstituting the cup shaped geometry and buttressing effect of the volar lip of the middle phalanx if stability is to be restored. The use of a hemi-hamate autograft to reconstruct the base of the middle phalanx is a new technique that restores joint congruity and stability while allowing for early motion. This operative technique replaces the damaged palmar lip of the middle phalanx with a size-matched portion of the hamate obtained from its distal dorsal articular surface between the 4th and 5th metacarpals. By restoring both articular congruity and osseous stability the advantage of this procedure is that it allows more immediate ...Continue Reading

References

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Citations

Oct 22, 2010·Archives of Orthopaedic and Trauma Surgery·Shingo KomuraHidehiko Nonomura
Jul 6, 2014·Clinics in Plastic Surgery·Reena A BhattFelix Stang
Apr 11, 2013·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Niels O B ThomsenLars B Dahlin
Nov 12, 2013·The Journal of Hand Surgery·Andrew R TyserKenneth R Means
Apr 26, 2008·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Sarah B GoldmanRandall A Espinosa
Jan 23, 2015·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·R C BarksfieldA J Chojnowski
Nov 26, 2015·The Journal of Hand Surgery, European Volume·V F SinclairL Muir
Oct 25, 2014·The Journal of Hand Surgery, European Volume·F S FruehN Lindenblatt
May 10, 2017·The Journal of Hand Surgery, European Volume·B P ThomasG A Anderson
Jun 2, 2009·The Journal of Bone and Joint Surgery. British Volume·C Y Ng, C W Oliver
Oct 30, 2013·Plastic and Reconstructive Surgery·Joseph S KhouriWarren C Hammert
Aug 5, 2016·JBJS Reviews·Randy Bindra, Julie Colantoni Woodside
May 18, 2006·Journal of Neurosurgery·R Shane TubbsW Jerry Oakes
Oct 31, 2012·The Journal of Bone and Joint Surgery. British Volume·C Y Ng, A C Watts
Aug 24, 2019·The Journal of Hand Surgery Asian-Pacific Volume·Karlis Verdins, Vadims Nefjodovs
Jul 15, 2021·The Journal of Hand Surgery, European Volume·Danielle NizzeroJames Leong

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