Reconstruction- Hamate osteochondral graft for proximal interphalangeal joint fracture dislocation reconstruction

Description: Dorsal fracture dislocations of the proximal interphalangeal joint are a common and difficult injury. The seriousness of the problem is often underestimated by the patient, leading to delay in treatment. Even when treated early, these fractures are difficult because the joint surface is crushed into small pieces. Treatment options include - among others - fusion, dynamic traction, ORIF with bone graft, volar plate arthroplasty, and joint reconstruction using a hamate osteochondral graft matched to the shape of the base of the middle phalanx, which was used in this case. There is no single solution which works well for all patients.