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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 The 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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organization
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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
The Journal of hand surgery, European volume
volume
35
issue
8
pages
627 - 631
publisher
SAGE Publications Inc.
external identifiers
  • wos:000282249500003
  • pmid:20511322
  • scopus:78649285814
ISSN
1532-2211
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
2010-07-01 22:17:24
date last changed
2017-08-20 04:43:34
@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         = {1532-2211},
  keyword      = {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 Inc.},
  series       = {The 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},
  volume       = {35},
  year         = {2010},
}