J Hand Microsurg 2019; 11(S 01): S46-S49
DOI: 10.1055/s-0038-1677361
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

An Intraoperative Template Technique for Hemi-Hamate Bone Grafts in Reconstruction of the Proximal Interphalangeal Joint

Dariush Nikkhah
1   Royal Perth Hospital, Perth, Australia
,
Jeremy Rawlins
1   Royal Perth Hospital, Perth, Australia
,
Robert Miller
2   Royal London Hospital, London, United Kingdom
,
Edmund Fitzgerald
3   St. Thomas’ Hospital, London, United Kingdom
› Author Affiliations
Funding None.
Further Information

Publication History

Received: 05 October 2018

Accepted after revision: 12 November 2018

Publication Date:
04 January 2019 (online)

Abstract

The surgical management of proximal interphalangeal joint fracture subluxations is challenging. The hemi-hamate autograft is a useful but technically challenging technique for these injuries. We describe a simple technical note, using a bone wax template to help guide the harvest of a geometrically accurate hemi-hamate graft to facilitate accurate proximal interphalangeal joint reconstruction, while reducing donor site morbidity.

 
  • References

  • 1 Nikkhah D, O’Neill J, Pickford M. Cone beam computed tomography as a guide to the management of proximal interphalangeal joint fractures. J Plast Reconstr Aesthet Surg 2015; 68 (02) 282-284
  • 2 Haase SC, Chung KC. Current concepts in treatment of fracture-dislocations of the proximal interphalangeal joint. Plast Reconstr Surg 2014; 134 (06) 1246-1257
  • 3 Nikkhah D, Ruston J, Toft N. Refinements in dynamic external fixation for optimal fracture distraction in pilon-type fractures of the proximal interphalangeal joint. J Plast Reconstr Aesthet Surg 2016; 69 (08) 1153-1155
  • 4 Burnier M, Awada T, Marin BraunF, Rostoucher P, Ninou M, Erhard L. Treatment of unstable proximal interphalangeal joint fractures with hemi-hamate osteochondral autografts. J Hand Surg Eur Vol 2017; 42 (02) 188-193
  • 5 Williams RM, Hastings II H, Kiefhaber TR. PIP fracture/dislocation treatment technique: use of a hemi-hamate resurfacing arthroplasty. Tech Hand Up Extrem Surg 2002; 6 (04) 185-192
  • 6 Williams RM, Kiefhaber TR, Sommerkamp TG, Stern PJ. Treatment of unstable dorsal proximal interphalangeal fracture/dislocations using a hemi-hamate autograft. J Hand Surg Am 2003; 28 (05) 856-865
  • 7 Calfee RP, Kiefhaber TR, Sommerkamp TG, Stern PJ. Hemihamate arthroplasty provides functional reconstruction of acute and chronic proximal interphalangeal fracture-dislocations. J Hand Surg Am 2009; 34 (07) 1232-1241
  • 8 DeNoble PH, Record NC. A modification to simplify the harvest of a hemi-hamate autograft. J Hand Surg Am 2016; 41 (05) e99-e102