Osteoarthritis – Hand and Wrist-Hemi-Hamate Arthroplasty for Proximal Interphalangeal Joint Injuries. Master Techniques in Hand Surgery

Hemi-Hamate Arthroplasty for Proximal Interphalangeal Joint Injuries. Master Techniques in Hand Surgery

Video Transcription

Video Summary

Dr. Tom Kiefhaber gives a talk on hemihemate arthroplasty, a surgical procedure used to repair hand fractures. He explains that the procedure involves flipping the distal articular surface of the hamate bone to support the middle phalanx. He emphasizes the importance of knowing the limitations of the procedure, such as the need for a destroyed palmar lip and an intact dorsal cortex. Dr. Kiefhaber walks through the surgical steps, including mobilizing neurovascular bundles, dividing ligaments, and removing the palmar plate. He also discusses the measurements and techniques for graft preparation, and the importance of recreating the cup-shaped geometry for joint stability. The video concludes with a demonstration of closing the wound and reviewing the final X-ray. Credits: Dr. Tom Kiefhaber.

Keywords

hemihamate arthroplasty

hand fractures

surgical procedure

distal articular surface

hamate bone