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Arch Hand Microsurg > Volume 22(4); 2017 > Article
Archives of Hand and Microsurgery 2017;22(4):273-279.
Published online December 1, 2017.
Internal Fixation of Hamate Hook Fracture by Dorsal Percutaneous Headless Compression Screw and Cortical Screw: A Technical Note
Sang-Kyu Kang, Jin-Rock Oh
Department of Orthopedic Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.
Received: 2 May 2017   • Revised: 23 September 2017   • Accepted: 28 September 2017
Hamate bone fracture is an uncommon injury, accounting for 2% of all carpal bone fractures. The common treatment of choice for hamate bone fractures is conservative treatment or excision of the hamate fracture fragment. We devised a new procedure that utilizes dorsal percutaneous compression screws for internal fixation. This technique was performed on two patients with left hamate hook base fractures. Tolerable active joint movement of the left wrist and fingers was permitted the first day post-surgery. Radiographs were taken after surgery, at 3 months, and at 6 months to determine the degree of union. No remarkable ligament injuries or nerve injuries were observed. This technique proved to be a relatively simple procedure when compared to the existing procedure while enabling early wrist movement. By preserving soft tissue, this procedure maintained blood supply decreasing risks of non-union. These advantages make this technique a recommendable new procedure for hamate hook fractures.
Key Words: Wrist, Carpal bones, Hamate bone, Minimal invasive surgery, Fracture fixation, internal
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