Hemi-Hamate Arthroplasty in Old Neglected Proximal Interphalangeal Joint Fracture Dislocations.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Background: Proximal inter-phalangeal joint injury is commonly seen in athletes & manual labourers. Being an articular fracture, it is prone for stiffness if neglected. In case of old fractures, hemi hamate arthroplasty is a well-established method. Materials and Methods: Hemi-hamate arthroplasty procedure was used in the reconstruction in ten cases of old PIP Joint injury of the finger in a period of 2 years. 7 of them were treated inadequately else-where. All patients with atleast palmar lip or pilon fracture with >30% articular surface involvement were taken for the procedure. Results: There was complete restoration of pre-injury movement in about 80%cases.There were 2 cases of graft non union which were managed successfully. No major donor site morbidity was reported except terminal pain on forced grip. Conclusions: Hemi-hamate arthroplasty is reliable method in the treatment of old neglected PIP joint fracture dislocations.Key words: Hemi-hamate arthroplasty (HHA), old proximal inter-phalangeal joint (PIPJ) injury, Shot gunning.
Authors and Affiliations
Dillip Kumar Chand
Keywords
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