Reconstruction- Hamate osteochondral graft for PIP fracture dislocation

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. Many treatment options exist, none perfect. A new approach for these fractures involves replacing the destroyed section of the joint with an osteochondral graft taken from the dorsal hamate, where the shape of the joint surface matches that of the base of the middle phalanx. This is an example of this technique.