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Updated: Jan 5, 2026
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An Intraoperative Template Technique for Hemi-Hamate Bone Grafts in Reconstruction of the Proximal Interphalangeal
Dariush Nikkhah1, Jeremy Rawlins1, Robert Miller2
1Royal Perth Hospital, Perth, Australia.
Abstract:
The surgical management of proximal interphalangeal joint fracture subluxations is challenging. The hemi-hamate autograft is a useful but technically challenging technique for these injuries. We describe a simple technical note, using a bone wax template to help guide the harvest of a geometrically accurate hemi-hamate graft to facilitate accurate proximal interphalangeal joint reconstruction, while reducing donor site morbidity.
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