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Hemi-hamate osteochondral transplantation in proximal interphalangeal dorsal fracture dislocations: a minimum 4 year follow-up in eight patients.

Afendras, G ; Abramo, Antonio LU ; Mrkonjic, Ante LU ; Geijer, Mats LU ; Kopylov, Philippe LU and Tägil, Magnus LU (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)
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author
; ; ; ; and
organization
publishing date
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}},
}