Abstract
Osteochondral graft from the carpal bone allows anatomical joint reconstruction in unstable dorsal fracture-dislocations with > 50% of the articular surfaces. The most used graft is the dorsal hamate. Hemi-hamate arthroplasty is technically challenging and has anatomical incongruity, and many authors have evolved various modifications in the palmar buttress reconstruction of the middle phalanx base. Therefore, there are no universally accepted treatment modalities for these complex articular injuries. This article describes the dorsal capitate as the osteochondral graft for middle phalanx volar articular surface reconstruction. Hemi-capitate arthroplasty was done on a 40-year-old man with an unstable dorsal fracture dislocation of the PIP joint. The osteochondral capitate graft united well, and the joint congruency was good at the final follow-up. The surgical technique, illustrative images, and rehabilitation are discussed. With the evolving technical modifications and complications in Hemi-hamate arthroplasty, distal capitate may be considered a reliable and alternate osteochondral graft for unstable PIP joint fracture-dislocations.
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References
Gianakos, A., Yingling, J., Athens, C. M., Barra, A. E., & Capo, J. T. (2020). Treatment for acute proximal interphalangeal joint fractures and fracture-dislocations: A systematic review of the literature. Journal of Hand and Microsurgery, 12(Suppl 1), S9–S15. https://doi.org/10.1055/s-0040-1713323. Epub 2020 Aug 10. PMID: 33335365; PMCID: PMC7735550.
Frueh, F. S., Calcagni, M., & Lindenblatt, N. (2015). The Hemi-hamate autograft arthroplasty in proximal interphalangeal joint reconstruction: A systematic review. Journal of Hand Surgery European Volume, 40(1), 24–32. https://doi.org/10.1177/1753193414554356. Epub 2014 Oct 22 PMID: 25342651.
Burnier, M., Awada, T., Marin Braun, F., Rostoucher, P., Ninou, M., & Erhard, L. (2017). Treatment of unstable proximal interphalangeal joint fractures with Hemi-hamate osteochondral autografts. Journal of Hand Surgery European Volume, 42(2), 188–193. https://doi.org/10.1177/1753193416671886. Epub 2016 Oct 22 PMID: 27765865.
Yang, D. S., Lee, S. K., Kim, K. J., & Choy, W. S. (2014). Modified hemihamate arthroplasty technique for treatment of acute proximal interphalangeal joint fracture-dislocations. Annals of Plastic Surgery, 72(4), 411–416. https://doi.org/10.1097/SAP.0b013e3182623988. PMID: 23241786.
Elliott, R. M., Nayar, S. K., Giladi, A. M., Forthman, C. L., Parks, B. G., & Means, K. R. (2019). The relationship between hemihamate graft size and proximal interphalangeal joint flexion for reconstruction of fracture-dislocations: A biomechanical study. Journal Hand Surgery American Volume, 44(696), e1-6.
Sollaccio, D. R., Navo, P., Ghiassi, A., Orr, C. M., Patel, B. A., & Lewton, K. L. (2019). Evaluation of articular surface similarity of hemi-hamate grafts and proximal middle phalanx morphology: A 3D geometric morphometric approach. The Journal of Hand Surgery, 44, 121–128.
Bond, E. C., Matenga, M., & BMMacLean, S. (2022). Hamate vs capitate grafting for proximal interphalangeal joint fracture-dislocation: An MRI-based study of 35 hands. Journal of Hand Surgery European Volume, 47(7), 755–760. https://doi.org/10.1177/17531934221081293
Venter, R. G., Burger, M. C., Ikram, A., & Lamberts, R. P. (2019). Bony anatomy of the third metacarpal and relationship with the capitate: A computed tomography study. Surgical and Radiologic Anatomy, 41(11), 1319–1324.
Lindenblatt, N., Biraima, A., Tami, I., Giovanoli, P., & Calcagni, M. (2013). Hemi-hamate autograft arthroplasty for acute and chronic PIP joint fracture-dislocations. Handchirurgie Mikrochirurgie Plastische Chirurgie, 45(1), 13–19. https://doi.org/10.1055/s-0033-1337917. Epub 2013 Mar 21 PMID: 23519711.
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Supplementary file1 Surgical demonstration video of hemi capitate arthroplasty of the patient with an unstable fracture dislocation of the PIP joint in the left ring finger (MP4 223088 KB)
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Jerome, J.T.J. Hemi-capitate Arthroplasty for Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint: Surgical Technique and Illustrative Case. JOIO 57, 527–532 (2023). https://doi.org/10.1007/s43465-023-00853-2
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DOI: https://doi.org/10.1007/s43465-023-00853-2