Total Joint Arthroplasty of a Proximal Interphalangeal Joint with Proximal Metal Surface Replacement and Distal Hemi-Hamate Autograft: A Long-Term Follow-Up
A 28-year–old female recreational athlete presented with middle finger proximal interphalangeal joint pain, stiffness, and ulnar deviation deformity 2 years after internal fixation of a middle phalanx base fracture-dislocation. Radiographs revealed posttraumatic changes on both sides of the proximal...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | Journal of Hand Surgery Global Online |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514122000226 |
| _version_ | 1818205684761624576 |
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| author | Caroline Wu, BS Matthew Drake, MD Kenneth R. Means, Jr., MD |
| author_facet | Caroline Wu, BS Matthew Drake, MD Kenneth R. Means, Jr., MD |
| author_sort | Caroline Wu, BS |
| collection | DOAJ |
| description | A 28-year–old female recreational athlete presented with middle finger proximal interphalangeal joint pain, stiffness, and ulnar deviation deformity 2 years after internal fixation of a middle phalanx base fracture-dislocation. Radiographs revealed posttraumatic changes on both sides of the proximal interphalangeal joint. Having failed nonsurgical measures, she elected to proceed with surgical reconstruction. Intraoperatively, we confirmed substantial articular damage on both sides of the joint. We proceeded with hemi-hamate autograft for 80% of the middle phalanx base. We used a cobalt chrome proximal phalanx component. After healing, the patient returned to all daily-living and athletic activities with resolution of preoperative pain, stiffness, and deformity. Twelve years after surgey, she had no pain or substantial limitations because of the finger. We measured 80° of proximal interphalangeal joint motion. The grip and fingertip-pinch strength were 91% and 73%, respectively, of the contralateral dominant hand. Radiographs showed no progressive changes compared to 3 years after surgery. |
| first_indexed | 2024-12-12T04:01:03Z |
| format | Article |
| id | doaj.art-059f279ad292483bbbac524ba3bc64a4 |
| institution | Directory Open Access Journal |
| issn | 2589-5141 |
| language | English |
| last_indexed | 2024-12-12T04:01:03Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj.art-059f279ad292483bbbac524ba3bc64a42022-12-22T00:39:02ZengElsevierJournal of Hand Surgery Global Online2589-51412022-05-0143189193Total Joint Arthroplasty of a Proximal Interphalangeal Joint with Proximal Metal Surface Replacement and Distal Hemi-Hamate Autograft: A Long-Term Follow-UpCaroline Wu, BS0Matthew Drake, MD1Kenneth R. Means, Jr., MD2Georgetown University School of Medicine, Washington, DCThe Department of Orthopedic Surgery and Sports Medicine, The University of Kansas, Lawrence, KSThe Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD; Corresponding author: Kenneth R. Means, Jr, MD, the Curtis National Hand Center, MedStar Union Memorial Hospital, 3333 North Calvert Street, JPB #200, Baltimore, MD 21218.A 28-year–old female recreational athlete presented with middle finger proximal interphalangeal joint pain, stiffness, and ulnar deviation deformity 2 years after internal fixation of a middle phalanx base fracture-dislocation. Radiographs revealed posttraumatic changes on both sides of the proximal interphalangeal joint. Having failed nonsurgical measures, she elected to proceed with surgical reconstruction. Intraoperatively, we confirmed substantial articular damage on both sides of the joint. We proceeded with hemi-hamate autograft for 80% of the middle phalanx base. We used a cobalt chrome proximal phalanx component. After healing, the patient returned to all daily-living and athletic activities with resolution of preoperative pain, stiffness, and deformity. Twelve years after surgey, she had no pain or substantial limitations because of the finger. We measured 80° of proximal interphalangeal joint motion. The grip and fingertip-pinch strength were 91% and 73%, respectively, of the contralateral dominant hand. Radiographs showed no progressive changes compared to 3 years after surgery.http://www.sciencedirect.com/science/article/pii/S2589514122000226ArthroplastyHemi-hamate arthroplastyJoint reconstructionOsteochondral graftProximal interphalangeal joint |
| spellingShingle | Caroline Wu, BS Matthew Drake, MD Kenneth R. Means, Jr., MD Total Joint Arthroplasty of a Proximal Interphalangeal Joint with Proximal Metal Surface Replacement and Distal Hemi-Hamate Autograft: A Long-Term Follow-Up Journal of Hand Surgery Global Online Arthroplasty Hemi-hamate arthroplasty Joint reconstruction Osteochondral graft Proximal interphalangeal joint |
| title | Total Joint Arthroplasty of a Proximal Interphalangeal Joint with Proximal Metal Surface Replacement and Distal Hemi-Hamate Autograft: A Long-Term Follow-Up |
| title_full | Total Joint Arthroplasty of a Proximal Interphalangeal Joint with Proximal Metal Surface Replacement and Distal Hemi-Hamate Autograft: A Long-Term Follow-Up |
| title_fullStr | Total Joint Arthroplasty of a Proximal Interphalangeal Joint with Proximal Metal Surface Replacement and Distal Hemi-Hamate Autograft: A Long-Term Follow-Up |
| title_full_unstemmed | Total Joint Arthroplasty of a Proximal Interphalangeal Joint with Proximal Metal Surface Replacement and Distal Hemi-Hamate Autograft: A Long-Term Follow-Up |
| title_short | Total Joint Arthroplasty of a Proximal Interphalangeal Joint with Proximal Metal Surface Replacement and Distal Hemi-Hamate Autograft: A Long-Term Follow-Up |
| title_sort | total joint arthroplasty of a proximal interphalangeal joint with proximal metal surface replacement and distal hemi hamate autograft a long term follow up |
| topic | Arthroplasty Hemi-hamate arthroplasty Joint reconstruction Osteochondral graft Proximal interphalangeal joint |
| url | http://www.sciencedirect.com/science/article/pii/S2589514122000226 |
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