Hemi-hamate osteochondral transplantation in proximal interphalangeal dorsal fracture dislocations: a minimum 4 year follow-up in eight patients.
(2010) In Journal of Hand Surgery: European Volume 35(8). p.627-631- Abstract
- Fracture dislocations of the PIP joint are challenging to treat. In hemi-hamate arthroplasty, the palmar lip joint surface is reconstructed using an osteochondral graft from the hamate and the immediate stability permits early movement. In the long term, collapse of non-vascularized osteochondral grafts might lead to degenerative arthritis. We examined the radiographic result after a minimum of 4 years with special reference to the development of osteoarthritis and its relation to clinical symptoms in eight patients, mean age 49 (25-66) years. After a mean of 60 (48-69) months, the arc of motion was 67 degrees (45 degrees -95 degrees ) at the PIP joint and grip strength was 91% of the uninjured side. The visual analogue score for pain... (More)
- Fracture dislocations of the PIP joint are challenging to treat. In hemi-hamate arthroplasty, the palmar lip joint surface is reconstructed using an osteochondral graft from the hamate and the immediate stability permits early movement. In the long term, collapse of non-vascularized osteochondral grafts might lead to degenerative arthritis. We examined the radiographic result after a minimum of 4 years with special reference to the development of osteoarthritis and its relation to clinical symptoms in eight patients, mean age 49 (25-66) years. After a mean of 60 (48-69) months, the arc of motion was 67 degrees (45 degrees -95 degrees ) at the PIP joint and grip strength was 91% of the uninjured side. The visual analogue score for pain (0-100) was 10 (0-70) mm. Severe arthritis (grade IV) was found in two and mild arthritis (grade II) in another two patients, but only one of these four cases had troublesome pain. The hemi-hamate technique is an attractive alternative to other treatment options, but some cases develop osteoarthritis in the medium term. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1626528
- author
- Afendras, G ; Abramo, Antonio LU ; Mrkonjic, Ante LU ; Geijer, Mats LU ; Kopylov, Philippe LU and Tägil, Magnus LU
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Postoperative Complications: etiology Osteoarthritis: radiography Osteoarthritis: etiology Intra-Articular Fractures: surgery Intra-Articular Fractures: radiography Hand Strength: physiology Hamate Bone: transplantation Finger Joint: surgery Finger Joint: radiography Finger Injuries: surgery Finger Injuries: radiography Dislocations: surgery Bone Remodeling: physiology Bone Transplantation: methods Postoperative Complications: radiography Range of Motion Articular: physiology
- in
- Journal of Hand Surgery: European Volume
- volume
- 35
- issue
- 8
- pages
- 627 - 631
- publisher
- SAGE Publications
- external identifiers
-
- wos:000282249500003
- pmid:20511322
- scopus:78649285814
- ISSN
- 2043-6289
- DOI
- 10.1177/1753193410373311
- language
- English
- LU publication?
- yes
- id
- edbbcb1e-9809-4120-b8be-783fddde9a97 (old id 1626528)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20511322?dopt=Abstract
- date added to LUP
- 2016-04-04 09:28:50
- date last changed
- 2022-03-23 05:42:07
@article{edbbcb1e-9809-4120-b8be-783fddde9a97, abstract = {{Fracture dislocations of the PIP joint are challenging to treat. In hemi-hamate arthroplasty, the palmar lip joint surface is reconstructed using an osteochondral graft from the hamate and the immediate stability permits early movement. In the long term, collapse of non-vascularized osteochondral grafts might lead to degenerative arthritis. We examined the radiographic result after a minimum of 4 years with special reference to the development of osteoarthritis and its relation to clinical symptoms in eight patients, mean age 49 (25-66) years. After a mean of 60 (48-69) months, the arc of motion was 67 degrees (45 degrees -95 degrees ) at the PIP joint and grip strength was 91% of the uninjured side. The visual analogue score for pain (0-100) was 10 (0-70) mm. Severe arthritis (grade IV) was found in two and mild arthritis (grade II) in another two patients, but only one of these four cases had troublesome pain. The hemi-hamate technique is an attractive alternative to other treatment options, but some cases develop osteoarthritis in the medium term.}}, author = {{Afendras, G and Abramo, Antonio and Mrkonjic, Ante and Geijer, Mats and Kopylov, Philippe and Tägil, Magnus}}, issn = {{2043-6289}}, keywords = {{Postoperative Complications: etiology Osteoarthritis: radiography Osteoarthritis: etiology Intra-Articular Fractures: surgery Intra-Articular Fractures: radiography Hand Strength: physiology Hamate Bone: transplantation Finger Joint: surgery Finger Joint: radiography Finger Injuries: surgery Finger Injuries: radiography Dislocations: surgery Bone Remodeling: physiology Bone Transplantation: methods Postoperative Complications: radiography Range of Motion Articular: physiology}}, language = {{eng}}, number = {{8}}, pages = {{627--631}}, publisher = {{SAGE Publications}}, series = {{Journal of Hand Surgery: European Volume}}, title = {{Hemi-hamate osteochondral transplantation in proximal interphalangeal dorsal fracture dislocations: a minimum 4 year follow-up in eight patients.}}, url = {{http://dx.doi.org/10.1177/1753193410373311}}, doi = {{10.1177/1753193410373311}}, volume = {{35}}, year = {{2010}}, }