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Podolsky DJ, Mainprize J, McMillan C, et al. Suitability of Using the Hamate for Reconstruction of the Finger Middle Phalanx Base: An Assessment of Cartilage Thickness. Plast Surg (Oakv). 2019;27(3):211-216doi: 10.1177/2292550319826084.
Podolsky, D. J., Mainprize, J., McMillan, C., & Binhammer, P. (2019). Suitability of Using the Hamate for Reconstruction of the Finger Middle Phalanx Base: An Assessment of Cartilage Thickness. Plastic surgery (Oakville, Ont.), 27(3), 211-216. https://doi.org/10.1177/2292550319826084
Podolsky, Dale J, et al. "Suitability of Using the Hamate for Reconstruction of the Finger Middle Phalanx Base: An Assessment of Cartilage Thickness." Plastic surgery (Oakville, Ont.) vol. 27,3 (2019): 211-216. doi: https://doi.org/10.1177/2292550319826084
Podolsky DJ, Mainprize J, McMillan C, Binhammer P. Suitability of Using the Hamate for Reconstruction of the Finger Middle Phalanx Base: An Assessment of Cartilage Thickness. Plast Surg (Oakv). 2019 Aug;27(3):211-216. doi: 10.1177/2292550319826084. Epub 2019 Mar 13. PMID: 31453140; PMCID: PMC6696865.
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Plast Surg (Oakv). 2019 Aug;27(3):211-216. doi: 10.1177/2292550319826084. Epub 2019 Mar 13.

Suitability of Using the Hamate for Reconstruction of the Finger Middle Phalanx Base: An Assessment of Cartilage Thickness.

Plastic surgery (Oakville, Ont.)

Dale J Podolsky, James Mainprize, Catherine McMillan, Paul Binhammer

Affiliations

  1. Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto, Ontario, Canada.
  2. Department of Physical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada.
  3. Department of Plastic Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

PMID: 31453140 PMCID: PMC6696865 DOI: 10.1177/2292550319826084

Abstract

BACKGROUND: Osteochondral grafts are indicated for reconstructing the finger middle phalanx base when there is greater than 50% involvement of the articular surface and significant comminution. This study aims to compare the cartilage thickness of the distal surface of the hamate to the finger middle phalanx base to assess its suitability as an osteochondral graft.

METHODS: A 3-dimensional laser scanner and computer modelling techniques were utilized to determine the cartilage thickness of the distal surface of the hamate, and finger middle phalanx base using cadaver specimens. The mean, maximum, and coefficient of variation (CV%; a measure of uniformity of cartilage distribution), as well as cartilage distribution maps were determined.

RESULTS: The mean cartilage thickness of the hamate was 0.73 ± 0.08 mm compared to the average mean thickness of the finger middle phalanx base of 0.40 ± 0.12 mm. The maximum cartilage thickness of the hamate was 1.27 ± 0.14 mm compared to the average maximum of the finger middle phalanx base of 0.67 ± 0.14 mm. The CV% of the hamate was 27.8 ± 4.2 compared to the average CV% for the finger middle phalanx base of 26.6 ± 8.1. The hamate and finger middle phalanx base have maximum areas that were most frequently at or spanning the median ridge; however, this was more consistently observed with the hamate.

CONCLUSION: The distal surface of the hamate is a suitable osteochondral graft with respect to cartilage thickness and distribution providing sufficient cartilage for reconstruction of the finger middle phalanx base.

Keywords: 3-dimensional laser scanning; cartilage thickness; hamate; middle phalanx base; osteochondral graft; proximal interphalangeal joint

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

  1. J Hand Surg Am. 1999 Jan;24(1):78-85 - PubMed
  2. Ann Rheum Dis. 1999 Jan;58(1):27-34 - PubMed
  3. J Anat. 2000 Nov;197 Pt 4:687-91 - PubMed
  4. J Hand Surg Am. 2003 Sep;28(5):856-65 - PubMed
  5. Radiology. 2004 Oct;233(1):292-6 - PubMed
  6. Osteoarthritis Cartilage. 2005 Sep;13(9):782-9 - PubMed
  7. Osteoarthritis Cartilage. 2007 Feb;15(2):205-11 - PubMed
  8. Instr Course Lect. 2007;56:91-9 - PubMed
  9. Pediatr Rheumatol Online J. 2007 Apr 02;5:3 - PubMed
  10. J Hand Surg Am. 2008 Jan;33(1):19-25 - PubMed
  11. J Hand Surg Am. 2008 Apr;33(4):511-5 - PubMed
  12. Osteoarthritis Cartilage. 2008 Oct;16(10):1167-73 - PubMed
  13. J Hand Surg Am. 2008 May-Jun;33(5):733-9 - PubMed
  14. Tech Hand Up Extrem Surg. 2008 Sep;12(3):150-5 - PubMed
  15. J Hand Surg Am. 2009 Sep;34(7):1232-41 - PubMed
  16. J Hand Surg Am. 2009 Dec;34(10):1890-4 - PubMed
  17. J Biomech Eng. 2009 Dec;131(12):121004 - PubMed
  18. J Hand Surg Am. 2011 Dec;36(12):1950-8 - PubMed
  19. J Hand Surg Eur Vol. 2015 Jan;40(1):24-32 - PubMed
  20. Clin Orthop Relat Res. 1985 Jul-Aug;(197):103-10 - PubMed
  21. J Bone Joint Surg Am. 1972 Dec;54(8):1705-11 - PubMed
  22. AJR Am J Roentgenol. 1995 Aug;165(2):371-5 - PubMed
  23. J Rheumatol. 1994 Jul;21(7):1310-8 - PubMed
  24. Magn Reson Imaging. 1995;13(5):709-18 - PubMed
  25. J Anat. 1998 Aug;193 ( Pt 2):203-14 - PubMed

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