Wide-Awake Hemi-hamate Arthroplasty for Chronic PIPJ Fracture-Dislocation: A Case Report

被引：0

作者：

Magtoto, I. J. ^{[1
]}

机构：

[1] Philippine Orthoped Ctr, Hand & Reconstruct Microsurg Unit, 78-A Maria Clara St, Quezon City 1114, Metro Manila, Philippines

来源：

MALAYSIAN ORTHOPAEDIC JOURNAL | 2023年 / 17卷 / 03期

关键词：

WALANT; arthroplasty; PIPJ fracture-dislocation; hemi-hamate; RECONSTRUCTION;

D O I：

10.5704/MOJ.2311.014

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Wide-awake local anaesthesia, no tourniquet (WALANT) has been reported for upper extremity procedures of varying complexities ranging from simple tendon repairs to more complicated soft tissue and bony reconstructions. Hemihamate arthroplasty under WALANT has yet to be described in English literature. We report a case of a chronic dorsal PIPJ fracture-dislocation who underwent open reduction anaesthesia. There was adequate visualization during the surgery with no additional anaesthesia required. Active intraoperative range of motion and joint stability testing was possible with no pain experienced throughout the procedure. of motion with occasional tolerable pain during maximal viable and safe alternative for hemi-hamate arthroplasty.

引用

页码：88 / 91

页数：4

共 5 条

[1]

Ayas MS., 2019, Hand Microsurg, V8, P160

[2] Hemi-Hamate Arthroplasty Provides Functional Reconstruction of Acute and Chronic Proximal Interphalangeal Fracture-Dislocations [J].