Hemi-hamate arthroplasty reconstruction for chronic proximal interphalangeal fracture-dislocation

被引：10

作者：

Bigorre, N. ^{[1
]}

Rabarin, F. ^{[1
]}

Jeudy, J. ^{[1
]}

Cesari, B. ^{[1
]}

机构：

[1] Ctr Main, F-49800 Trelaze, France

来源：

CHIRURGIE DE LA MAIN | 2014年 / 33卷 / 02期

关键词：

Arthroplasty; Dislocation; Fracture; Hemi-hamate; Proximal interphalangeal joint; JOINT;

D O I：

10.1016/j.main.2014.01.003

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：

Fracture-dislocations of the proximal interphalangeal (PIP) joint are complex and challenging to manage once they become chronic. We report a case of PIP joint fracture-dislocation treated by hemi-hamate arthroplasty. An 18-year-old male polytrauma patient presented with a neglected PIP joint fracture-dislocation in the third finger of the left hand. After four months of follow-up, he remained disabled due to clinodactyly and stiffness. After performing a cadaver study to evaluate the feasibility of grafting, we resurfaced the bone-cartilage defect with a hemi-hamate arthroplasty. The range of motion at the last follow-up was 65 degrees without pain; the DASH score was 2.27. The patient was able to return to heavy manual labour work at 5 months postoperative. (C) 2014 Elsevier Masson SAS. All rights reserved.

引用

页码：148 / 152

页数：5

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