Hamate Hook Removal, Microscrew Internal Fixation and Plaster Fixation for the Treatment of Hamate Hook Fractures

Siping Central People's Hospital

Status: Completed

Conditions: Fractures, Bone

Treatments: Procedure: hamate hook removal; Other: short-arm tube-type plaster fixation; Procedure: microscrew internal fixation

Study type: Interventional

Funder types: Other

Identifiers

NCT03108716

SipingCPH_001

Details and patient eligibility

About

To compare the effects of hamate hook removal, microscrew internal fixation and plaster fixation on fracture healing, work, life, and exercise recovery in patients with hamate hook fractures by retrospective case analysis.

Full description

Hamate hook fractures are rare, and mainly occur during sports activities. Its projection is often obscured by other carpal bone in conventional X-ray plain films, so hamate hook fractures are the most easily missed injury in hand surgery. As the incidence of such fractures is too small, it brings some difficulties in the clinical choice of correct and effective treatment. Currently, treatment programs of hamate hook fractures also are not consistent.

Enrollment: 28 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hamate hook fractures finally diagnosed by X-ray and CT scan at the wrist position holding a cup and the carpal canal position (appendix 2)
• Unilateral hamate hook fractures
• Irrespective of age and sex

Exclusion criteria

• Incomplete follow-up data

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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28 participants in 3 patient groups

hamate hook removal

Experimental group

Description:

The patients were assigned to hamate hook removal(n=13).

Treatment:

Procedure: hamate hook removal

microscrew internal fixation

Experimental group

Description:

The patients were assigned to the microscrew internal fixation after open reduction (n=11).

Treatment:

Procedure: microscrew internal fixation

short-arm tube-type plaster fixation

Experimental group

Description:

The patients were assigned to the short-arm tube-type plaster fixation (conservative treatment) (n=4).

Treatment:

Other: short-arm tube-type plaster fixation