TechniquesTwo-incision Approach for the Open Reduction Internal Fixation of Intra-articular Hamate Body Fractures Using a Cannulated Headless Compression ScrewHa, Austin Y. MD*; Booth, Matthew MD, MS†; Pet, Mitchell A. MD*Author Information *Department of Surgery, Division of Plastic and Reconstructive Surgery †Department of Orthopaedic Surgery, Washington University, St. Louis, MO Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to: Mitchell A. Pet, MD, Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Northwest Tower, Suite 1150, Campus Box 8238, St Louis, MO 63110. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: December 2020 - Volume 24 - Issue 4 - p 187-193 doi: 10.1097/BTH.0000000000000290 Buy Metrics Abstract Fractures of the hamate are relatively rare and there is a paucity of literature describing their natural history, indications for operative fixation, surgical techniques, and outcomes. Most authors recommend operative fixation of displaced intra-articular coronal hamate body fractures, and a dorsal approach with Kirschner wires has most commonly been recommended to achieve this. In this report, a 2-incision approach to the hamate is presented that facilitates rigid internal fixation of coronal hamate body fractures with a cannulated headless compression screw and minimizes the possibility of iatrogenic injury to critical branches of the ulnar nerve. The authors summarize a series of 2 patients with displaced, intra-articular coronal hamate body fractures of differing severity treated successfully with the proposed approach. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.