gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Functional outcome following headless compression screw fixation for hamate fractures

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  • presenting/speaker Veronique A. J. I. M. Van Rijckevorsel - Maasstad Ziekenhuis, Rotterdam, Netherlands
  • Caroline A. Selles - Maasstad Ziekenhuis, Rotterdam, Netherlands
  • Cornelis H. Van Der Vlies - Maasstad Ziekenhuis, Rotterdam, Netherlands
  • Niels W. L. Schep - Maasstad Ziekenhuis, Rotterdam, Netherlands

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-990

doi: 10.3205/19ifssh0373, urn:nbn:de:0183-19ifssh03731

Published: February 6, 2020

© 2020 Van Rijckevorsel et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: Most hamate fractures are treated non-operatively, with percutaneous K -wire fixation, or with excision of a fractured hook of the hamate. Screw fixation is less popular due to the risk of iatrogenic ulnar nerve injury. The aim of this study was to present the functional results of patients with hamate fractures treated with headless compression screws (HCS).

Methods: In this retrospective cohort series, all consecutive adult patients with a hamate fracture, treated with HCS by the same hand-surgeon between August 2012 and November 2017 were screened for inclusion. The primary outcome was the Michigan Hand Outcome Questionnaire (MHOQ) after at least four months follow-up. Secondary outcomes were complications and whether or not patients were able to continue their profession following surgical treatment.

Results and Conclusions: Nine patients were included in this retrospective cohort study. A median MHOQ total score of 67% was reported (IQR 44-76). No ulnar nerve injuries were found. Also, no other complications were found during follow-up. All patients returned to their previous profession or a different profession in the same field. HCS fixation is a safe alternative to treat hamate fractures with good functional outcome.