{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T12:29:55Z","timestamp":1784982595333,"version":"3.55.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T00:00:00Z","timestamp":1619481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>Hemihamate arthroplasty is an established method of managing difficult Pilon fractures of the proximal interphalangeal (PIP) joint. We present our experience in 30 patients, whose injuries were further complicated by severe comminution and late presentations. Several modifications were utilized, including preoperative distraction, use of smaller size grafts and functional release of collaterals. The average follow-up period was 28\u00a0months (range 18 to 28). Postoperatively, the average range of flexion at the PIP joint improved from 30\u00b0 (range 20\u00b0 to 45\u00b0) preoperatively to 104\u00b0 (90\u00b0 to 110\u00b0) at the final follow-up. The average extension lag was 6\u00b0 (0\u00b0 to 20\u00b0). Five patients required secondary procedures and no patient had a recurrent dorsal dislocation. We propose these modifications in the use of hemihamate arthroplasty for the management of difficult PIP joint fractures.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/17531934211008056","type":"journal-article","created":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T07:09:23Z","timestamp":1619507363000},"page":"928-935","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Hemihamate arthroplasties in pilon fractures: a modified approach and experience in 30 patients"],"prefix":"10.1177","volume":"46","author":[{"given":"Gopal","family":"Malhotra","sequence":"first","affiliation":[{"name":"Department of Hand and Microvascular Surgery, Khoula Hospital, Muscat, Sultanate of Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zamzam Hamed","family":"Al Bahri","sequence":"additional","affiliation":[{"name":"Department of Hand and Microvascular Surgery, Khoula Hospital, Muscat, Sultanate of Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Osama Abdelhamed","family":"Elsayed","sequence":"additional","affiliation":[{"name":"Department of Hand and Microvascular Surgery, Khoula Hospital, Muscat, Sultanate of Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venkata Nageshwara Reddy","family":"Komma","sequence":"additional","affiliation":[{"name":"Department of Hand and Microvascular Surgery, Khoula Hospital, Muscat, Sultanate of Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Hand and Microvascular Surgery, Khoula Hospital, Muscat, Sultanate of Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,27]]},"reference":[{"key":"bibr1-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.07.019"},{"key":"bibr2-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(94)90003-5"},{"key":"bibr3-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.04.027"},{"key":"bibr6-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80267-0"},{"key":"bibr7-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000054160.46502.D0"},{"key":"bibr8-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(80)80011-6"},{"key":"bibr9-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(98)80134-2"},{"key":"bibr11-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414554356"},{"key":"bibr12-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsb.2005.05.006"},{"key":"bibr13-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000854"},{"key":"bibr15-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(98)80101-0"},{"key":"bibr16-17531934211008056","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00601"},{"key":"bibr17-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80454-X"},{"key":"bibr18-17531934211008056","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.90822"},{"key":"bibr20-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.08.017"},{"key":"bibr21-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.07.018"},{"key":"bibr22-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416641590"},{"key":"bibr23-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.09.025"},{"key":"bibr24-17531934211008056","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-012-1622-4"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934211008056","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934211008056","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934211008056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:46:01Z","timestamp":1777502761000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934211008056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,27]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1177\/17531934211008056"],"URL":"https:\/\/doi.org\/10.1177\/17531934211008056","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,27]]}}}