Functional Outcome following Headless Compression Screw Fixation for Hamate Fractures.

Authors :: van Rijckevorsel VAJIM
Selles CA
van der Vlies CH
Cleffken BI
Schep NWL
Source :: Journal of wrist surgery [J Wrist Surg] 2020 Apr; Vol. 9 (2), pp. 164-169. Date of Electronic Publication: 2019 Aug 30.
Publication Year :: 2020
Abstract: Hamate fractures can be treated nonoperatively, with the percutaneous Kirschner wire (K-wire) fixation, or with excision of a fractured hook of the hamate. Screw fixation is less popular owing 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). The primary outcome was the Michigan Hand Outcome Questionnaire (MHOQ) after at least 4 months of follow-up. Nine patients were included in this retrospective cohort study. A median MHOQ total score of 67% was reported (interquartile range [IQR]: 44-76). No complications were found during follow-up. HCS fixation is a safe alternative to treat hamate fractures with good functional outcome. This is a Level IV study.<br />Competing Interests: Conflict of Interest None declared.<br /> (© Thieme Medical Publishers.)

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