Hemi-hamate autograft for unstable proximal interphalangeal fracture-dislocation. A, “Shotgunned” proximal interphalangeal joint showing exposure of fracture and intact articular cartilage at base of middle phalanx. B, Prepared base of middle phalanx and corresponding donor site on hamate. PIP, Proximal interphalangeal. SEE TECHNIQUE 67.19.