Minimally invasive percutaneous screw internal fixation under robot navigation for the treatment of a hamate bone fracture
Abstract Purpose Hamate fractures are rare fractures of the wrist and there is still no consensus on the optimal treatment for these fractures, especially hook of hamate fractures. Herein, the authors present a case study of a series of patients who were treated with closed reduction and minimally i...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06917-6 |
| _version_ | 1797416343449894912 |
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| author | Fang Jie Zhu Hui Zheng Dawei Liu Guiqian Shi Rongjian Qi Weiya |
| author_facet | Fang Jie Zhu Hui Zheng Dawei Liu Guiqian Shi Rongjian Qi Weiya |
| author_sort | Fang Jie |
| collection | DOAJ |
| description | Abstract Purpose Hamate fractures are rare fractures of the wrist and there is still no consensus on the optimal treatment for these fractures, especially hook of hamate fractures. Herein, the authors present a case study of a series of patients who were treated with closed reduction and minimally invasive percutaneous fixation under robot navigation. Methods This retrospective study reviewed 14 patients who had nondisplaced or minimally displaced hamate fractures on computerized tomography images and were treated using the treatment in our centre from November 1, 2019, to October 31, 2022. At the final follow-up, the flexion-extension and radial-ulnar range of motion of the wrist were measured, and the grip strength and pinch strength were measured. The pain of the wrist was assessed using the visual analogue scale (VAS). The Mayo wrist score reflected the recovery of the wrist. Results The mean total operative duration was 40.1 min. All the fractures showed union at a mean of 3.0 months. At a mean follow-up of 23.3 months (range 6–36 months), the mean VAS score was 0.7, the average Mayo wrist score was 95, and the mean pinch strength and grip strength were 11.3 and 38.7 kg, respectively. The flexion-extension arc was 138.3°, the mean radial and ulnar deviation arc was 63.8°, and the mean pronation-supination arc was 172.3°. And the time of return to the original occupation was mean 4 months (3~6 months). There were no complications, such as infection or nerve paralysis. Conclusions This study suggests that nondisplaced or minimally displaced hamate hook fractures can be successfully treated by closed reduction and internal fixation with a headless compression screw with the assistance of robot navigation, and the small fragment of fracture can be accurately fixed with minimal iatrogenic injury. |
| first_indexed | 2024-03-09T06:02:58Z |
| format | Article |
| id | doaj.art-0fb0411e136c4c59b7af8e25188cec54 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-09T06:02:58Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-0fb0411e136c4c59b7af8e25188cec542023-12-03T12:07:21ZengBMCBMC Musculoskeletal Disorders1471-24742023-12-012411810.1186/s12891-023-06917-6Minimally invasive percutaneous screw internal fixation under robot navigation for the treatment of a hamate bone fractureFang Jie0Zhu Hui1Zheng Dawei2Liu Guiqian3Shi Rongjian4Qi Weiya5Department of Hand Surgery, Clinical Anatomy Laboratory, Xuzhou Renci HospitalDepartment of Hand Surgery, Clinical Anatomy Laboratory, Xuzhou Renci HospitalDepartment of Hand Surgery, Clinical Anatomy Laboratory, Xuzhou Renci HospitalDepartment of Hand Surgery, Clinical Anatomy Laboratory, Xuzhou Renci HospitalDepartment of Hand Surgery, Clinical Anatomy Laboratory, Xuzhou Renci HospitalDepartment of Hand Surgery, Clinical Anatomy Laboratory, Xuzhou Renci HospitalAbstract Purpose Hamate fractures are rare fractures of the wrist and there is still no consensus on the optimal treatment for these fractures, especially hook of hamate fractures. Herein, the authors present a case study of a series of patients who were treated with closed reduction and minimally invasive percutaneous fixation under robot navigation. Methods This retrospective study reviewed 14 patients who had nondisplaced or minimally displaced hamate fractures on computerized tomography images and were treated using the treatment in our centre from November 1, 2019, to October 31, 2022. At the final follow-up, the flexion-extension and radial-ulnar range of motion of the wrist were measured, and the grip strength and pinch strength were measured. The pain of the wrist was assessed using the visual analogue scale (VAS). The Mayo wrist score reflected the recovery of the wrist. Results The mean total operative duration was 40.1 min. All the fractures showed union at a mean of 3.0 months. At a mean follow-up of 23.3 months (range 6–36 months), the mean VAS score was 0.7, the average Mayo wrist score was 95, and the mean pinch strength and grip strength were 11.3 and 38.7 kg, respectively. The flexion-extension arc was 138.3°, the mean radial and ulnar deviation arc was 63.8°, and the mean pronation-supination arc was 172.3°. And the time of return to the original occupation was mean 4 months (3~6 months). There were no complications, such as infection or nerve paralysis. Conclusions This study suggests that nondisplaced or minimally displaced hamate hook fractures can be successfully treated by closed reduction and internal fixation with a headless compression screw with the assistance of robot navigation, and the small fragment of fracture can be accurately fixed with minimal iatrogenic injury.https://doi.org/10.1186/s12891-023-06917-6Hamate fractureRobot navigationMinimally invasive |
| spellingShingle | Fang Jie Zhu Hui Zheng Dawei Liu Guiqian Shi Rongjian Qi Weiya Minimally invasive percutaneous screw internal fixation under robot navigation for the treatment of a hamate bone fracture BMC Musculoskeletal Disorders Hamate fracture Robot navigation Minimally invasive |
| title | Minimally invasive percutaneous screw internal fixation under robot navigation for the treatment of a hamate bone fracture |
| title_full | Minimally invasive percutaneous screw internal fixation under robot navigation for the treatment of a hamate bone fracture |
| title_fullStr | Minimally invasive percutaneous screw internal fixation under robot navigation for the treatment of a hamate bone fracture |
| title_full_unstemmed | Minimally invasive percutaneous screw internal fixation under robot navigation for the treatment of a hamate bone fracture |
| title_short | Minimally invasive percutaneous screw internal fixation under robot navigation for the treatment of a hamate bone fracture |
| title_sort | minimally invasive percutaneous screw internal fixation under robot navigation for the treatment of a hamate bone fracture |
| topic | Hamate fracture Robot navigation Minimally invasive |
| url | https://doi.org/10.1186/s12891-023-06917-6 |
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