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J Hand Microsurg
DOI: 10.1055/s-0043-1761224
Case Report

Capitate Fracture Subsequent to Capitolunate Staple Fusion: A Case Report

Anna Zakusylo
1   Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States
,
Jared A. Escobar
1   Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States
,
Gregory R. Toci
2   Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States
,
Michael N. Nakashian 
3   Orthopaedic Institute Brielle Orthopaedics, Brielle, New Jersey, United States
,
Daniel Fletcher
2   Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States
,
Brian M. Katt
1   Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States
3   Orthopaedic Institute Brielle Orthopaedics, Brielle, New Jersey, United States
› Author Affiliations Funding None.
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Abstract

We report a case of a 71-year-old man who underwent capitolunate fusion for scapholunate advanced collapse. At the patient's 4-month follow-up, there was evidence of a fracture at the distal staple tine. He subsequently underwent removal of staple hardware with revision open reduction internal fixation using headless compression screw fixation and bone grafting. The literature review aimed to identify possible mechanisms and analyze similar cases of this complication. We presume that the fracture resulted from increased stress on the bone from both drill holes and the orientation of the staples. Placing the tines in different planes may decrease the risk of this complication.

Keywords

capitate - complications - wrist - surgery


Publication History

Article published online:
13 March 2023

© 2023. Society of Indian Hand Surgery & Microsurgeons. All rights reserved.

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